MEDICARE: JAMES STEPHEN ST. LOUIS D.O.

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	207X00000X	Orthopaedic Surgery Physician	5101024861	MI
2	174400000X	Specialist	OS6763	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OS6763	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1467406215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES STEPHEN ST. LOUIS D.O.

Provider Business Mailing Address
First Line	:	300 STATE ST E STE 222
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3711
Country	:	US
Telephone Number	:	813-819-0290
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 STATE ST E STE 222
Second Line	:
City	:	OLDSMAR
State	:	FL
Zip	:	34677-3711
Country	:	US
Telephone Number	:	813-819-0290
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	02/17/2026

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