Healthcare Provider Details

I. General information

NPI: 1396658217
Provider Name (Legal Business Name): THE ORTHOPEDIC CENTER - CAPE GIRARDEAU, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S MOUNT AUBURN RD STE 200
CAPE GIRARDEAU MO
63703-4902
US

IV. Provider business mailing address

14825 NORTH OUTER 40 RD STE 200
CHESTERFIELD MO
63017-2152
US

V. Phone/Fax

Practice location:
  • Phone: 314-336-2555
  • Fax:
Mailing address:
  • Phone: 314-392-5027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: COLE SCHULTE
Title or Position: ADMINISTRATOR
Credential: DBA, MHA
Phone: 314-392-5027