Healthcare Provider Details

I. General information

NPI: 1063303857
Provider Name (Legal Business Name): MATTHEW C BAYES, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1815 CLARKSON RD STE 100
CHESTERFIELD MO
63017-5065
US

IV. Provider business mailing address

1815 CLARKSON RD STE 100
CHESTERFIELD MO
63017-5065
US

V. Phone/Fax

Practice location:
  • Phone: 314-348-0594
  • Fax: 636-735-3022
Mailing address:
  • Phone: 636-735-3003
  • Fax: 636-735-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080S0010X
TaxonomyPediatric Sports Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW CHRISTIAN BAYES
Title or Position: OWNER/DOCTOR
Credential: MD
Phone: 636-735-3003