DR. PEARL FISHER SEROTA (NPI# 1689881567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689881567 |
| Entity Type | Individual |
| Full Name | DR. PEARL FISHER SEROTA |
| Other Name | PEARL FISHER |
| Credential | M.D, |
| Practice Address |
621 S New Ballas Rd Ste 693a Saint Louis MO 63141-8263 |
| Mailing Address |
Po Box 7115 Chesterfield MO 63006-7115 |
| Practice Telephone | 3142516898 |
| Mailing Telephone | 3143077600 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
102683 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
621 S NEW BALLAS RD STE 693A |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720287089 | Kristina Radoulova | Psychiatry & Neurology | 621 S New Ballas Rd Ste 693a, Saint Louis, MO 63141-8263 | 2007-07-16 |
| 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 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730622929 | Judith Hood Mckelvey | Psychiatry & Neurology | 9861 Copper Hill Rd, Saint Louis, MO 63124-1063 | 2016-11-21 |
| 1629332259 | Oksana Baram | Psychiatry & Neurology | 10420 Old Olive Street Rd Ste 204, Saint Louis, MO 63141-5938 | 2012-06-28 |
| 1154536100 | Rekha Ramanuja | Psychiatry & Neurology | 1220 N Lindbergh Blvd, Saint Louis, MO 63132-1704 | 2007-05-13 |
| 1215972948 | Gary H Boxer | Psychiatry & Neurology | 24 S Kingshighway Blvd, Saint Louis, MO 63108-1301 | 2006-06-17 |
| 1265956544 | Family Psychiatry LLC | Psychiatry & Neurology | 10420 Old Olive Street Rd, Saint Louis, MO 63141-5914 | 2017-07-28 |
| 1699138495 | Martin Huynh | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108-2212 | 2016-03-30 |
| 1225490881 | Ian Leonard Pearson | Psychiatry & Neurology | 660 S Euclid Ave, Saint Louis, MO 63110-1010 | 2016-03-23 |
| 1255715793 | Max Samuel Rosen | Psychiatry & Neurology | 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 | 2015-07-15 |
| 1699152249 | Brian Bui | Psychiatry & Neurology | 4444 Forest Park Ave Ste 2600, Saint Louis, MO 63108 | 2015-05-04 |
| 1417334442 | Erin Kathleen Morrison | Psychiatry & Neurology | 4444 Forest Park Ave, Ste 2600, Saint Louis, MO 63108-2212 | 2015-04-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
Please comment or provide details below to improve the information on DR. PEARL FISHER SEROTA.
| 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.