An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
ID license #M15661taxonomy 207XS0106X
Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is...
MO license #2015021994taxonomy 207X00000X
Identifiers
Type
Value
Notes
01 (MO)
2015021994
MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.
Medicare specialties
Hand Surgery
Plus 2 additional
Medical school
University Of Texas Medical School At Houston
Graduation year 2015
Largest Medicare group
6 members
Largest listed enrollment group
Facility affiliations reported by CMS
Idaho Hand Center, PA
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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