DR. AMIT MATHUR


Address: 1465 S Grand Blvd, Saint Louis, MO 63104-1003
Phone: 3145775663

DR. AMIT MATHUR (NPI# 1437177078) 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) 1437177078
Entity Type Individual
Full Name DR. AMIT MATHUR
Credential MD
Practice Address 1465 S Grand Blvd
Saint Louis
MO 63104-1003
Practice Telephone 3145775663
Practice Fax Number 3142686410
Mailing Telephone 3145775663
Mailing Fax Number 3142686410
Enumeration Date 2006-07-18
Last Update Date 2019-08-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 107167 MO Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
107167 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 203875505 05
IL ENROLLED 05

Other Providers AMIT MATHUR

NPI Name Taxonomy Address Enumeration
1306371208 Amit Mathur Pharmacist 845 S Main St, Willits, CA 95490-3915 2017-04-27
1891814034 Amit Kumar Mathur Transplant Surgery 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 2007-03-28

Office Location

Street Address 1465 S GRAND BLVD
City SAINT LOUIS
State MO
Zip Code 63104-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528676921 Gunjanpreet Kaur Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-07-21
1972128510 Millicent Rose Palacios Nurse Practitioner 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-06-09
1083241863 Nathaniel Joseph Conner Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1467089177 Stacy Kollanur Mathews Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1568099299 Susan Aye Mya Oo Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1861029514 Gregory Joseph Weissler II Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1154958874 Brendan Michael Mcenery Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1316574049 Satvika Mikkilineni Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1972130607 Katherine Letha Randolph Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
1346877081 Samuel Ryan Richey Student in an Organized Health Care Education/Training Program 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2020-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407469570 Family Care Health Centers Clinic/Center 2717 Sidney Street, St. Louis, MO 63104 2020-08-28
1023638038 Laura Ann Humphrey Physician Assistant Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 2020-04-20
1174187264 Ahsan Ali Student in an Organized Health Care Education/Training Program 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 2019-04-24
1205359916 Brenda Eve Ladin Behavior Technician 1221 Allen Market Lane Rear, St. Louis, MO 63104 2017-07-25
1841722063 Gustavo G Mendez Student in an Organized Health Care Education/Training Program 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 2017-03-28
1053776716 Carmella Harper Respiratory Therapist, Certified 2678 Park Ave, St Louis, MO 63104 2015-12-23
1922485986 Alexander Tremont Internal Medicine 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 2015-04-29
1306233341 Healthcare R Us Home Health 2859 Sidney St, St Louis, MO 63104 2015-04-16
1396159091 Daniela Hermelin Pathology 1402 South Grane, St. Louis, MO 63104 2014-06-20
1992117881 Kelly Denise Durbin Social Worker 1920 S 7th St, Saint Louis, MO 63104 2014-05-27
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336628247 Elizabeth Nicole Crank Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1081 2018-08-10
1205249398 Tara Lynn Billings Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2014-06-05
1659791796 Hugo Kiyoshi Kato Pediatrics 1465 S Grand Blvd, Room 2717 North Bldg., Saint Louis, MO 63104-1003 2014-04-16
1841466349 Cassandra B Orellana Pediatrics 615 S New Ballas Rd, #2016b, Saint Louis, MO 63141-8221 2008-05-05
1578733929 Catherine Carol Cibulskis Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2008-03-01
1255523171 Young Sup Byun Pediatrics 1 Childrens Pl, Nw Tower Box 8116, Saint Louis, MO 63110-1002 2007-08-14
1033313143 Wambui Waruingi Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-06-13
1922219567 Melissa Marie Riley Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2007-05-25
1649490988 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-27
1073737425 Noah Harold Hillman Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-13
Find all providers in SAINT LOUIS

Competitor

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City SAINT LOUIS
Zip Code 63104

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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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