SOUTH COUNTY PEDIATRIC ASSOCIATES PC (NPI# 1356462253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356462253 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY PEDIATRIC ASSOCIATES PC |
| Practice Address |
4850 Lemay Ferry Rd Ste 120 Saint Louis MO 63129 |
| Mailing Address |
4850 Lemay Ferry Rd Ste 120 Saint Louis MO 63129-1576 |
| Practice Telephone | 3148493320 |
| Practice Fax Number | 3148497766 |
| Mailing Telephone | 3148493320 |
| Mailing Fax Number | 3148497766 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-08-01 |
| Authorized Official Name | IRMA I ORTIZ-ARROYO (PRESIDENT) |
| Authorized Official Telephone | 3148493320 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
4850 LEMAY FERRY RD STE 120 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236007 | Signature Foundation Home Health | Home Health | 4850 Lemay Ferry Rd, Ste 101, Saint Louis, MO 63129-1576 | 2005-09-27 |
| 1316370059 | Physicians of St Anthonys Medical Center Lc | Internal Medicine | 4850 Lemay Ferry Rd, Suite 210, Saint Louis, MO 63129-1576 | 2013-08-16 |
| 1316278559 | Margaret Carver | Physical Therapist | 4850 Lemay Ferry Rd, Suite 120, Saint Louis, MO 63129-1576 | 2010-01-28 |
| 1649416769 | Molly Jo Eggers | Physical Therapy Assistant | 4850 Lemay Ferry Rd, Suite 101, Saint Louis, MO 63129-1576 | 2008-12-18 |
| 1306015961 | Julie A Gagliano | Physical Therapy Assistant | 4850 Lemay Ferry Rd, Suite 120, Saint Louis, MO 63129-1576 | 2008-02-27 |
| 1245416064 | Ruth Ann Lamar | Physical Therapy Assistant | 4850 Lemay Ferry Rd, Saint Louis, MO 63129-1576 | 2008-01-10 |
| 1578763827 | Signature Healthcare Foundaiton | Clinic/Center | 4850 Lemay Ferry Rd, Suite 101, Saint Louis, MO 63129-1576 | 2007-07-24 |
| 1215136387 | Brigid Maltagliati | Physical Therapy Assistant | 4850 Lemay Ferry Rd, Suite 120, Saint Louis, MO 63129-1576 | 2007-07-17 |
| 1760601785 | Linda L Patton Walsh | Physical Therapist | 4850 Lemay Ferry Rd, Suite 120, Saint Louis, MO 63129-1576 | 2007-04-25 |
| 1982740528 | Signature Healthcare Foundation | Durable Medical Equipment & Medical Supplies | 4850 Lemay Ferry Rd, Suite 120, Saint Louis, MO 63129-1576 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447730742 | Total Access Urgent Care, PC | Clinic/Center | 4400 Telegraph Road, 4400 Telegraph Road, St. Louis, MO 63129 | 2018-08-16 |
| 1679061808 | Susan Swyers Grogan | Occupational Therapist | 2806 Flamewood Drive, St. Louis, MO 63129 | 2018-04-24 |
| 1376073981 | Eric Piatchek | Specialist/Technologist | 2661 Bluff Ridge Drive, St. Louis, MO 63129 | 2017-06-15 |
| 1033647144 | Keona E Smith | Nurse Practitioner | 7334 Lindbergh Blvd, Ballwin, MO 63129 | 2017-06-02 |
| 1588036966 | Sarah Michelle Corry | Occupational Therapist | 5043 Telegraph Rd, St Louis, MO 63129 | 2015-10-26 |
| 1598169120 | Vivian Carr | Counselor | 5266 Sir Bors Drive, St. Louis, MO 63129 | 2014-10-10 |
| 1982044327 | Andrew Michael Bryant | Family Medicine | 4280 Mid America Lane, Saint Louis, MO 63129 | 2013-06-30 |
| 1306185533 | John Alexander Miller | Registered Nurse | 4220 Robert Koch Hospital Rd, Saint Louis, MO 63129 | 2013-02-07 |
| 1346597457 | Pain and Performance Relief LLC | Physical Medicine & Rehabilitation | 4175 Crescent Dr Ste A, Saint Louis, MO 63129 | 2012-08-08 |
| 1366721516 | Teresa Lyn Bitter | Speech-Language Pathologist | 7325 Summerview Manor Lane, St. Louis, MO 63129 | 2011-08-05 |
| Find all providers in zip 63129 | ||||
| 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 | 63129 |
Please comment or provide details below to improve the information on SOUTH COUNTY PEDIATRIC ASSOCIATES PC.
| 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.