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

Regeneration Orthopedics, LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1649524711

Regeneration Orthopedics, LLC is a Pain Medicine (Anesthesiology) Physician in Granite City, Illinois. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
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

3986 Maryville Rd
Granite City, IL 62040-4191
Phone: (636) 536-7000
Fax: (636) 898-5709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1649524711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Wilson — Office Manager · (636) 536-7000
NPI enumeratedOctober 29, 2012
Last updated in NPPESOctober 29, 2012
Mailing address6 McBride And Son Center Dr, Ste 204, Chesterfield, MO 63005-1418