Provider Demographics
NPI:1861564494
Name:STL ORTHOPEDICS, LTD
Entity type:Organization
Organization Name:STL ORTHOPEDICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MINEMIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-434-3240
Mailing Address - Street 1:224 S WOODS MILL RD
Mailing Address - Street 2:SUITE 255 SOUTH
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3491
Mailing Address - Country:US
Mailing Address - Phone:314-434-3240
Mailing Address - Fax:314-434-6956
Practice Address - Street 1:224 S WOODS MILL RD
Practice Address - Street 2:SUITE 255 SOUTH
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3491
Practice Address - Country:US
Practice Address - Phone:314-434-3240
Practice Address - Fax:314-434-6956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9919332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0603710001Medicare NSC