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ST. GIANNA PEDIATRICS LLC NPI 1053887612


NPI Information

NPI: 1053887612
Provider Name: ST. GIANNA PEDIATRICS, LLC

Doing Business As: ST. TERESA PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 26D2159091

Address:
7387 WATSON ROAD
SHREWSBURY, MO
ZIP 63119
Phone: (314) 500-5437
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ST. GIANNA PEDIATRICS, LLC is a pediatrics in Shrewsbury, MO. The provider is 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. ST. GIANNA PEDIATRICS, LLC NPI is 1053887612. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St. Teresa Pediatrics.

The provider's business location address is:

7387 WATSON ROAD
SHREWSBURY, MO
ZIP 63119
Phone: (314) 500-5437
Fax: (314) 500-5683

The provider's authorized official is Elizabeth C. Abraham .
The authorized official title is President and has the following contact phone number (314) 808-5354.

The CLIA number assigned to this NPI record is 26D2159091 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2018 and was last updated on 9/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0210XPediatricsPediatric NephrologyNo
2208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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