ANITA CHACKO


Address: 621 S New Ballas Rd, Ste. 674a, Saint Louis, MO 63141-8232
Phone: 3142516831

ANITA CHACKO (NPI# 1417933433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417933433
Entity Type Individual
Full Name ANITA CHACKO
Credential MD
Practice Address 621 S New Ballas Rd
Ste. 674a
Saint Louis
MO 63141-8232
Practice Telephone 3142516831
Practice Fax Number 3142515670
Mailing Telephone 3142516831
Mailing Fax Number 3142515670
Enumeration Date 2005-12-21
Last Update Date 2007-10-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0208X Pediatrics
Specialization: Pediatric Infectious Diseases
R4F01 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO MO LICENSE # R4F01 01

Other Providers ANITA CHACKO

NPI Name Taxonomy Address Enumeration
1831141696 Anita George Chacko Physical Therapist 26 Tower Rd Ne, Marietta, GA 30060-6947 2006-05-17
1134784424 Anita Chacko Student in an Organized Health Care Education/Training Program 2601 E Roosevelt St, Phoenix, AZ 85008-4973 2019-05-02
1346449535 Anita Chacko Nurse Practitioner 7441 Marvin D Love Fwy, Suite 300, Dallas, TX 75237-3490 2007-07-17

Office Location

Street Address 621 S NEW BALLAS RD
STE. 674A
City SAINT LOUIS
State MO
Zip Code 63141-8232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790788941 Robert J Backer Specialist 621 S New Ballas Rd, Ste 297a, Saint Louis, MO 63141-8232 2005-05-23
1609362474 Manesh Kumar Gangwani Internal Medicine 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-07-05
1164918165 Ayesha Farrukh Internal Medicine 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-07-03
1720573769 Chelsea Renee Drissell Family Medicine 621 S New Ballas Rd, Saint Louis, MO 63141 2018-06-22
1023502358 Bryan Gabriel Acree Internal Medicine 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-06-20
1700370996 Kathryn Emily Harvey-feldewerth Internal Medicine 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-06-20
1063906493 Paul Pearson Panasiuk Obstetrics & Gynecology 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-06-19
1558855056 Jessica Jenkins Obstetrics & Gynecology 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-06-18
1679067276 Kristopher Vaughn Pullam Family Medicine 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-06-18
1932693629 Lawrence Andrew Rudolf Family Medicine 621 S New Ballas Rd, Saint Louis, MO 63141-8232 2018-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679102842 Noor Ramadan Pharmacist 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 2020-04-08
1497381206 Washington University Durable Medical Equipment & Medical Supplies 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 2020-03-13
1154956498 Ashleigh Clendenny Physician Assistant Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 2020-03-06
1801429410 Emili Lou Haley Registered Nurse 650 Maryville Drive, St Louis, MO 63141 2020-02-21
1629553110 Rebecca Kathleen Pike Social Worker West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 2018-10-01
1649756099 River City Sedation Associates, LLC Nurse Anesthetist, Certified Registered 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 2018-07-18
1205333952 Ear Care and Hearing of St. Louis Hearing Aid Equipment 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 2018-04-10
1659897486 Erin Goodman Physical Therapist 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 2017-08-14
1093230450 Center for Urologic Surgery LLC Clinic/Center 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 2017-08-07
1871016105 Jacob Farley Tanner Specialist/Technologist 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 2017-07-19
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Taxonomy Information

Taxonomy Code 2080P0208X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Infectious Diseases

Taxonomy Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487781597 Tessa Gardner Pediatrics 7905 Blackberry Ave, Saint Louis, MO 63130-2710 2007-02-27
1295885580 Edwin Lemuel Anderson Pediatrics 1100 S Grand Blvd Fl 1, Saint Louis, MO 63104-1015 2007-01-11
1518274489 Mercy Clinic Children's Infectious Disease, LLC Pediatrics 621 S New Ballas Rd, Suite 674-a, Saint Louis, MO 63141-8232 2010-09-13
1427277110 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-24
1285656322 Russell J Osguthorpe Pediatrics 1 Childrens Pl, Suite C, Saint Louis, MO 63110-1002 2006-07-25
1730106238 Patrick C Seed Pediatrics 1 Childrens Pl, Suite C, Saint Louis, MO 63110-1002 2006-07-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184936437 Liset Carla Olarte Carhuaz Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2010-07-01
1083849871 Christelle Marlyse Ilboudo Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2009-05-21
1922249739 Barbara Angelica Pahud Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2009-03-09
1457507832 Jennifer Schuster Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-08-17
1013172055 Rana El Feghaly Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2008-07-18
1790736510 Christopher Joseph Harrison Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-15
1366493728 Angela Leigh Myers Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-12
1710938188 Mary Anne Jackson Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-12
1326099714 Douglas Scott Swanson Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2006-05-12
1154371615 Denise Bratcher Pediatrics 2401 Gillham Rd, Children's Mercy Hospital and Clinics, Kansas City, MO 64108-4619 2006-05-12
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Competitor

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City SAINT LOUIS
Zip Code 63141

Improve Information

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Dataset Information

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.

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