Provider Demographics
NPI:1598804155
Name:ORTHOPEDIC SPECIALISTS, PC
Entity Type:Organization
Organization Name:ORTHOPEDIC SPECIALISTS, PC
Other - Org Name:ORTHOPEDIC SPECIALISTS, PC EUREKA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHABOT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:314-909-1359
Mailing Address - Street 1:PO BOX 790051
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63179-0051
Mailing Address - Country:US
Mailing Address - Phone:314-989-0300
Mailing Address - Fax:
Practice Address - Street 1:20 THE LEGENDS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:EUREKA
Practice Address - State:MO
Practice Address - Zip Code:63025-3818
Practice Address - Country:US
Practice Address - Phone:636-938-7888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty