MEDICARE: DR. EMIL A DIFILIPPO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	30530	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21646	OTHER	MO	BLUE CROSS BLUE SHIELD
2	SP10135	OTHER		CIGNA
3	45619	OTHER		CMR
4	4432V6097	OTHER		HEALTHCARE USA
5	119066	OTHER		HEALTHLINK
6	6034V3458	OTHER		GHP/ADVANTRA
7	900093	OTHER		UHC
8	9042	OTHER		EXCLUSIVE CHOICE
9	4061313	OTHER		AETNA

General Provider Information

NPI Number	:	1205839354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EMIL A DIFILIPPO M.D.

Provider Business Mailing Address
First Line	:	12639 OLD TESSON RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63128-2786
Country	:	US
Telephone Number	:	314-849-0311
Fax Number	:	314-849-4423

Provider Business Practice Location Address
First Line	:	9323 PHOENIX VILLAGE PKWY
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-4281
Country	:	US
Telephone Number	:	636-561-5030
Fax Number	:	636-561-5033

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	05/06/2015

Similar Medicare Providers

1710980750 — MARK K KEOHANE M.D.
Practice Location Address:

9323 PHOENIX VILLAGE PKWY
O FALLON, MO
63366-4281

Practice Phone: 636-561-5030
Practice Fax: 636-561-5033

1275536120 — DR. JAMES E SCHABERG M.D.
Practice Location Address:

9323 PHOENIX VILLAGE PKWY
O FALLON, MO
63366-4281

Practice Phone: 636-561-5030
Practice Fax: 636-561-5033

1710980875 — DR. ANTHONY J BERNI M.D.
Practice Location Address:

9323 PHOENIX VILLAGE PKWY
O FALLON, MO
63368-4281

Practice Phone: 636-561-0871
Practice Fax:

1639151517 — ROBERT A. SCIORTINO M.D.
Practice Location Address:

9323 PHOENIX VILLAGE PKWY
O FALLON, MO
63368-4281

Practice Phone: 314-434-3240
Practice Fax: 314-434-6956

1245284298 — STEPHEN J THRO PT
Practice Location Address:

9331 PHOENIX VILLAGE PKWY
O FALLON, MO
63368-4281

Practice Phone: 636-561-4793
Practice Fax: 636-561-4811

1174561211 — DR. MATTHEW PAUL MELANDER DO
Practice Location Address:

9323 PHOENIX VILLAGE PKWY
O FALLON, MO
63368-4281

Practice Phone: 636-561-5030
Practice Fax: 636-561-5033

Directions to “ DR. EMIL A DIFILIPPO M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.