Healthcare Provider Details

I. General information

NPI: 1134344922
Provider Name (Legal Business Name): SCOTT GEOFFREY KAAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S GRAND BLVD # 1
SAINT LOUIS MO
63104-1016
US

IV. Provider business mailing address

1008 S SPRING AVE
SAINT LOUIS MO
63110-2520
US

V. Phone/Fax

Practice location:
  • Phone: 314-257-3390
  • Fax:
Mailing address:
  • Phone: 314-617-3393
  • Fax: 314-617-3198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number2008012502
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: