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

Fallon H Maylack, MD

Individual provider Orthopaedic Surgery Physician · NPI 1184642993

Fallon H Maylack, MD is an Orthopedic Surgery in Bridgeton, Missouri. Graduated from Washington University School of Medicine in 1982, 44 years ago. Practices with American Multispecialty Group Inc, a 118-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
44
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12255 De Paul Dr Ste 845
Bridgeton, MO 63044-2510
Phone: (314) 884-6320
Fax: (314) 884-6321
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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 · Licence R5E50 (MO)

Record details

NPI number1184642993
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESFebruary 13, 2017
Mailing addressPo Box 23340, Saint Louis, MO 63156-3340

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice American Multispecialty Group Inc — 118 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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