ORTHOPEDIC ALLIANCE
NPI 1053644872
Orthopaedic Surgery in Fenton, MO

NPI Status: Active since September 11, 2009

Contact Information

1011 BOWLES AVE
SUITE 400
FENTON, MO
ZIP 63026
Phone: (314) 821-4884
Fax: (314) 821-4885

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  • Organization
  • Orthopaedic Surgery

About ORTHOPEDIC ALLIANCE

This page provides the complete NPI Profile along with additional information for Orthopedic Alliance, a provider established in Fenton, Missouri operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1053644872 assigned on September 2009. The practitioner's primary taxonomy code is 207X00000X with license number 31680 (MO). The provider is registered as an organization and their NPI record was last updated 15 years ago. Orthopedic Alliance operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Orthopedic Alliance. The authorized official of this NPI record is Lawrence G Evans Md (Owner)

NPI
1053644872
Provider Legal Name
LAWRENCE G EVANS MD LLC
Other Organization Name
ORTHOPEDIC ALLIANCE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1011 BOWLES AVE SUITE 400 FENTON, MO 63026
Location Phone
(314) 821-4884
Location Fax
(314) 821-4885
Mailing Address
1836 LACKLAND HILL PKWY SAINT LOUIS, MO 63146
Mailing Phone
(314) 989-0300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2009
Last Update Date
06-10-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
31680
License State
MO
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAWRENCE G EVANS MD

Authorized Official Title
OWNER
Authorized Official Phone
(314) 821-4884

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
MA1970MEDICARE PIN (08)MO 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1053644872
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201031248814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 0 + 3 + 1 + 2 + 4 + 8 + 8 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1053644872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568433639PETER J ANDERSON, MD PC
Organization
Orthopaedic Surgery1011 BOWLES AVE SUITE 400
FENTON, MO 63026
(314) 821-4884
1891766754CLAYTON R PERRY, MD PC
Organization
Orthopaedic Surgery1011 BOWLES AVE SUITE 400
FENTON, MO 63026
(314) 821-4884
1942271689 MARK W GRIMM M.D.
Individual
Otolaryngology1011 BOWLES AVE SUITE 405
FENTON, MO 63026
(314) 965-9184
1376561464 JOSEPH RUDOLPH M.D.
Individual
Pediatrics1011 BOWLES AVE SUITE 300
FENTON, MO 63026
(314) 496-5000
1023218898SSM MEDICAL GROUP
Organization
Internal Medicine1011 BOWLES AVE SUITE 300
FENTON, MO 63026
(636) 496-5000
1942493317HEARTLAND CARDIOLOGY, LLC
Organization
Internal Medicine (Cardiovascular Disease)1011 BOWLES AVE SUITE 205
FENTON, MO 63026
(636) 680-5151
1275781288SSM MEDICAL GROUP
Organization
Family Medicine1011 BOWLES AVE SUITE 300
FENTON, MO 63026
(636) 496-5000
1932341021PATIENTS FIRST HEALTH CARE LLC
Organization
Internal Medicine (Cardiovascular Disease)1011 BOWLES AVE SUITE G10
ST LOUIS, MO 63026
(636) 239-2711
1467688937CHOTCHAI SRISURO, M.D., INC.
Organization
Obstetrics & Gynecology (Gynecologic Oncology)1011 BOWLES AVE SUITE G10
FENTON, MO 63026
(636) 496-5450
1891025615FARIS AL-GEBORY MD LLC
Organization
Surgery1011 BOWLES AVE SUITE 415
FENTON, MO 63026
(636) 717-1700
1083929798MRS. JENNIFER NOBLE SMITH MSPT, OCS
Individual
Physical Therapist1011 BOWLES AVE SUITE 150
FENTON, MO 63026
(636) 343-9555
1013204692CENTER FOR ADVANCED FOOT & ANKLE SURGERY, INC.
Organization
Durable Medical Equipment & Medical Supplies1011 BOWLES AVE SUITE 123
FENTON, MO 63026
(314) 991-3668
1043568280MS. DENISE P BLACKBURN APRN, FNP-BC
Individual
Nurse Practitioner (Family)1011 BOWLES AVE SUITE G10
FENTON, MO 63026
(314) 965-9980
1386679660MR. STEPHEN ANGELO BOVERI MD
Individual
Obstetrics & Gynecology1011 BOWLES AVE SUITE 215
FENTON, MO 63026
(636) 680-1960
1003841388DR. LAWRENCE VINCENT BOVERI MD
Individual
Obstetrics & Gynecology1011 BOWLES AVE SUITE 215
FENTON, MO 63026
(636) 680-1960
1275551707DR. JEFFREY E PETERSEN MD
Individual
Dermatology1011 BOWLES AVE SUITE 121
FENTON, MO 63026
(314) 200-2713
1437127065DR. BRENT RYAN DAVIDSON M.D.
Individual
Ophthalmology1011 BOWLES AVE SUITE 415
FENTON, MO 63026
(636) 717-1700
1508020645 SHANA WIDICK ROSE M.D.
Individual
Ophthalmology1011 BOWLES AVE SUITE 415
FENTON, MO 63026
(636) 717-1700
1992196992DR. TARA JOANN KNOEPP DPT
Individual
Physical Therapist1011 BOWLES AVE SUITE 150
FENTON, MO 63026
(636) 343-9555
1205072360ENVISION EYE SPECIALISTS PC
Organization
Ophthalmology1011 BOWLES AVE SUITE 200
FENTON, MO 63026
(636) 717-1700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053644872, enumerated in the NPI registry as an "organization" on September 11, 2009

The provider is located at 1011 Bowles Ave Suite 400 Fenton, Mo 63026 and the phone number is (314) 821-4884

This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 11, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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