ST. LOUIS CHILDRENS HOSPITAL (NPI# 1194246728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194246728 |
| Entity Type | Organization |
| Organization Name | ST. LOUIS CHILDRENS HOSPITAL |
| Practice Address |
12436 Tesson Ferry Rd Saint Louis MO 63128-2702 |
| Mailing Address |
1 Childrens Place Administration Suite 3s-36 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144546336 |
| Mailing Telephone | 3144546044 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | MICHELE MCKEE (VICE PRESIDENT) |
| Authorized Official Telephone | 3144546044 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154674901 | St. Louis Childrens Hospital | Rehabilitation Hospital | 12 Schultz Rd, Saint Louis, MO 63122-6550 | 2012-10-17 |
| 1336635499 | St. Louis Childrens Hospital | Ambulance | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2018-07-02 |
| 1710909486 | St. Louis Childrens Hospital | Clinic/Center | 13001 N Outer 40 Rd, Chesterfield, MO 63017-5941 | 2006-07-24 |
| Street Address |
12436 TESSON FERRY RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-2702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679521520 | Michelle Renee Martin | Nurse Practitioner | 12436 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2006-05-04 |
| 1316570013 | Sarah Marie Clements | Nurse Practitioner | 12436 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2020-02-20 |
| 1457990798 | Courtney Taylor Boivin | Nurse Practitioner | 12436 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2020-01-03 |
| 1366002743 | Kimberly Tracy | Nurse Practitioner | 12436 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2019-06-18 |
| 1497319560 | Lacey Stevenson | Nurse Practitioner | 12436 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2019-04-24 |
| 1659785145 | Sasha Alloyse Thompson | Nurse Practitioner | 12436 Tesson Ferry Rd, Saint Louis, MO 63128-2702 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1487149498 | Jessica Sims | Pediatrics | 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 | 2018-06-22 |
| 1356835342 | Jerome Michael Molleston | Pediatrics | 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1598259566 | Kylie Bushroe | Pediatrics | 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 | 2018-06-21 |
| 1710492228 | Ideal Pediatric Wellness, LLC | Pediatrics | 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 | 2017-12-06 |
| 1578083424 | Michael Quinn | Pediatrics | Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2017-06-21 |
| 1205367612 | Anchal Sethi | Pediatrics | 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 | 2017-03-27 |
| 1831541895 | Lila Sarah Wahidi Nolan | Pediatrics | Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 | 2016-07-01 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.