DR. GAUTAM K SINGH (NPI# 1245258920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245258920 |
| Entity Type | Individual |
| Full Name | DR. GAUTAM K SINGH |
| Credential | MD |
| Practice Address |
1 Childrens Pl Ste C Ste C Saint Louis MO 63110-1002 |
| Mailing Address |
1 Childrens Pl Cb 8116 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144546095 |
| Practice Fax Number | 3144542561 |
| Mailing Telephone | 3144546095 |
| Mailing Fax Number | 3144542561 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 108179 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
108179 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 | |
| MO | 208027409 | 05 |
| Street Address |
1 CHILDRENS PL STE C STE C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428389 | Tasnim A Najaf | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2005-06-22 |
| 1942712278 | Claire Elizabeth Seper | Nurse Practitioner | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-10-26 |
| 1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
| 1184161820 | Linda Piersall Manwaring | Genetic Counselor, MS | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-19 |
| 1891231544 | Marisa Vineyard Andrews | Genetic Counselor, MS | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-18 |
| 1467998112 | Elise Marguerite Fiala | Genetic Counselor, MS | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-18 |
| 1487019394 | Ericka Lauren Louer | Nurse Practitioner | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2015-12-18 |
| 1588043632 | Diana Lynn Culbertson | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2015-05-21 |
| 1790106391 | Andrea Nicole Herkenhoff | Nurse Practitioner | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2013-12-27 |
| 1235490400 | Brooke I Polk | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205255379 | Manoj Parimi | Pediatrics | 621 S New Ballas Rd Ste 198a, Saint Louis, MO 63141-8255 | 2014-04-15 |
| 1760747026 | Gloria Chansong Lehmann | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104 | 2012-07-11 |
| 1053554956 | Melissa Kay Webb | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2009-04-08 |
| 1790988962 | Jason Michael Garnreiter | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-06-06 |
| 1477760585 | Jamie Sutherell | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-05-17 |
| 1871712646 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
| 1194823310 | Renuka E Peterson | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-09-20 |
| 1992812226 | Luke A. Bruns | Pediatrics | 621 S New Ballas Rd, Suite 281-a, Saint Louis, MO 63141-8232 | 2006-08-24 |
| 1326155664 | Dharam P. Goel | Pediatrics | 621 S New Ballas Rd, Suite 281-a, Saint Louis, MO 63141-8232 | 2006-08-24 |
| 1124135454 | Burt I. Bromberg | Pediatrics | 621 S New Ballas Rd, Suite 198-a, Saint Louis, MO 63141-8232 | 2006-08-24 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
Please comment or provide details below to improve the information on DR. GAUTAM K SINGH.
| 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.