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General NPI Number Information
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NPI Number | 1801754338
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Entity Type | Organization
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Legal Business Name | NORTHSTAR INJURY CARE LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 11710 OLD BALLAS RD STE 110
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7076
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Country | US
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Telephone | 636-237-1474
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 410290
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City | SAINT LOUIS
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State | MO
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Zip | 63141-0290
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MATTHEW WINTERTON
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Credential | MD
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Telephone | 636-237-1474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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