Provider Demographics
NPI:1508995333
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:314-434-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9919207X00000X
MO2017013108207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO001013174OtherROBERT A. SCIORTINO MD
MO000011017Medicare ID - Type UnspecifiedMELL & JONES ORTHOPEDICS
MOA13632Medicare UPIN
MOF33893Medicare UPIN
MO001011017Medicare ID - Type UnspecifiedBRUCE JONES MD