Dr. Rhoderic Peter Mirkin
M.D. | Orthopedic Surgery | 40+ years Exp
Medicare Enrolled 12122 Tesson Ferry Rd, Saint Louis
Missouri, 63128-1772
314-849-0808 314-849-8983
Maps & DirectionsDr. Rhoderic Peter Mirkin is a Saint Louis, Missouri based orthopedic surgeon with 40 years of experience in Orthopedic Surgery. He completed his graduation from University Of Pittsburgh School Of Medicine in 1985.. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Rhoderic Peter Mirkin is 109865 for Orthopedic Surgery in Missouri.
Dr. Rhoderic Peter Mirkin is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. Rhoderic Peter Mirkin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthopedic - Orthopedic Surgery |
| Credentials: | M.D. |
| Experience: | 40+ years |
| Medical School Attended: | University Of Pittsburgh School Of Medicine |
| Graduation Year: | 1985 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 12122 Tesson Ferry Rd, Saint Louis, Missouri, 63128-1772 |
| Phone: | 314-849-0808 |
| Fax: | 314-849-8983 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7416038161 |
| Enrollment ID: | I20100727000210 |
| NPI Number: | 1356393011 |
| NPI Enumeration Date: | 17 May, 2006 |
| NPI Last Update On: | 16 Mar, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Rhoderic Peter Mirkin are as mentioned below.
| License Number | Specialization | State | Status | |
| 109865 | Orthopedic Surgery | Missouri | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Rhoderic Peter Mirkin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Signature Medical Group Inc (4880598291) | 42 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Rhoderic Peter Mirkin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 136643 | Other | Missouri | GROUP HEALTH PLAN |
| 200046096 | Other | Missouri | RAILROAD MEDICARE |
| 0900210 | Other | Missouri | UNITED HEALTHCARE |
| 2102999001 | Other | Missouri | CIGNA |
| 26919 | Other | Missouri | BLUE CROSS BLUE SHIELD |
| 951747 | Other | Missouri | AETNA |
| 283694 | Other | Missouri | HEALTHLINK |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12639 Old Tesson Rd, Suite 115 Saint Louis, Missouri |
| Zip: | 63128-2786 |
| Phone Number: | 314-849-0311 |
| Fax Number: | 314-849-4423 |
Patients can reach Dr. Rhoderic Peter Mirkin at
12122 Tesson Ferry Rd, Saint Louis, Missouri or can
call to book an appointment on 314-849-0808.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.