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

Lindenwood University

Organization Orthopaedic Surgery Physician · NPI 1831646397

Lindenwood University is an Orthopaedic Surgery Physician in Saint Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2016.

Licensed in
MO
In the registry since
2016

Practice location Address checks out

209 S Kingshighway St
Saint Charles, MO 63301-1693
Phone: (636) 949-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 2013027435 (MO)

Record details

NPI number1831646397
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Lindenwood University Sports Medicine
NPI enumeratedSeptember 1, 2016
Last updated in NPPESSeptember 7, 2016
Mailing address5050 Spring Valley Rd., Dallas, TX 75244-3909

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