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

Northland Orthopedic Group

Organization Specialist · NPI 1891717351

Northland Orthopedic Group is a Specialist in Florissant, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006

Practice location Address checks out

1150 Graham Rd Ste 102
Florissant, MO 63031-8077
Phone: (314) 837-5555
Fax: (314) 837-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12261963 (MO)

Record details

NPI number1891717351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Roush — President · (314) 837-5555
Other names Northland Midamerica Orthopedics
NPI enumeratedJuly 24, 2006
Last updated in NPPESDecember 7, 2009
Mailing address1150 Graham Rd Ste 102, Florissant, MO 63031-8077

Other providers in Florissant