MEDICARE: JOINT HEALTH LLC

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	2003014166	MO

General Provider Information

NPI Number	:	1235571134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOINT HEALTH LLC

Provider Business Mailing Address
First Line	:	633 EMERSON RD STE 100
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-6739
Country	:	US
Telephone Number	:	314-991-9922
Fax Number	:

Provider Business Practice Location Address
First Line	:	633 EMERSON RD
Second Line	:	SUITE 100
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-6739
Country	:	US
Telephone Number	:	314-991-9922
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DAVID JONATHAN KING
Credential	:
Telephone Number	:	314-997-1777

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	01/30/2026

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Directions to “JOINT HEALTH LLC ” Practice Location

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