DR. ELISA RACHEL PINCUS


Address: 1465 S Grand Blvd, St. Louis, MO 63104-1003
Phone: 3142684101

DR. ELISA RACHEL PINCUS (NPI# 1548569734) 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) 1548569734
Entity Type Individual
Full Name DR. ELISA RACHEL PINCUS
Credential MD
Practice Address 1465 S Grand Blvd
St. Louis
MO 63104-1003
Mailing Address 3691 Rutger Ave
St. Louis
MO 63110-2515
Practice Telephone 3142684101
Practice Fax Number 3145775379
Mailing Telephone 3149776828
Mailing Fax Number 3149776872
Enumeration Date 2011-03-28
Last Update Date 2015-09-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2014017381 MO Allopathic & Osteopathic Physicians

Office Location

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

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033115589 Shulamit Menashe Portnoy Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2005-06-21
1982959433 Anya Jennifer Freedman Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2012-07-20
1508125295 Neal Russell Hartman Emergency Medicine 1465 S Grand Blvd, St. Louis, MO 63104-1003 2012-05-15
1275820359 Joseph George Maliakkal Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2011-07-08
1043500416 Lauren Rhae Draper Pediatrics 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 2011-04-19
1043500507 Debra H Zand Psychologist 1465 S Grand Blvd, St. Louis, MO 63104-1003 2011-04-18
1265747596 Dhiren Ranchhodbhai Patel Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2010-08-11
1346404191 Justin B Josephsen Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2008-07-10
1043471477 Rocio Del Carmen Zeballos-chavez Internal Medicine 1465 S Grand Blvd, St. Louis, MO 63104-1003 2008-06-18
1013195122 Margaret Kathleen Siska Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2008-01-31
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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 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215402011 Ayse Bahar Budan Caliskan Pediatrics Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 2018-10-08
1861987521 Miranda Lyn Edmunds Pediatrics One Children's Place 3s34, St. Louis, MO 63110 2018-06-26
1013402924 Caroline Kellagher Noel Pediatrics St. Louis Children's Hospital, 3s34, One Children's Place, St. Louis, MO 63110 2018-06-25
1063770949 Margaret Mary Keane Pediatrics 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 2012-04-27
1457620916 Gerald Wool Pediatrics 731 Oakbrook Lane, St. Louis, MO 63132-4936 2011-12-29
1255637799 Kyu S Her Pediatrics 624 Haverford Road, St. Louis, MO 63124 2011-02-01
1245469311 Henry Leroy Knock Pediatrics 405 Lennore Ave., St. Louis, MO 63122 2009-07-09
1841432796 Fahd Aqeeb Ahmad Pediatrics #1 Children's Place, St. Louis Children's Hospital, St. Louis, MO 63110 2009-03-24
1043413842 Kristen M Mennemeier Pediatrics 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131-2308 2007-06-08
1821218637 Lisa Marie Schrock Pediatrics 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 2007-04-26
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Competitor

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City ST. 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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