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

Individual provider Orthopaedic Surgery Physician · NPI 1083609614

Keith J. Odegard, MD is an Orthopedic Surgery in St. Louis, Missouri. Graduated from University of Minnesota Medical School in 1984, 42 years ago. Practices with Arnold Physical Therapy and Sports Medicine LLC, a 83-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
42
Trained at
University of Minnesota Medical School
Licensed in
MO
In the registry since
2005
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

12855 N Forty Dr Ste 125
St. Louis, MO 63141
Phone: (314) 966-0111
Fax: (314) 966-1023
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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 2004027795 (MO)

Record details

NPI number1083609614
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESOctober 21, 2011
Mailing address12813 Flushing Meadows Drive, Suite 210, St. Louis, MO 63131

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1984 (42 years in practice)
Group practice Arnold Physical Therapy And Sports Medicine Llc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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