Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ballwin Orthopedic Group, LLC

Organization Orthopaedic Surgery Physician · NPI 1558772053

Ballwin Orthopedic Group, LLC is an Orthopaedic Surgery Physician in Ballwin, Missouri. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

884 Woods Mill Rd Ste 202
Ballwin, MO 63011-3657
Phone: (314) 322-9254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1558772053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alyssa Visconti — Practice Manager · (314) 322-9254
NPI enumeratedMay 19, 2014
Last updated in NPPESMay 19, 2014
Mailing address884 Woods Mill Rd, Ste 202, Ballwin, MO 63011-3657

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