Provider Type Icon

JMJ MEDICAL ENTERPRISE LLC NPI 1093235129


NPI Information

NPI: 1093235129
Provider Name: JMJ MEDICAL ENTERPRISE, LLC

Doing Business As: JMJ MEDICAL

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 26D2126916

Address:
8790 WATSON RD STE 201
SAINT LOUIS, MO
ZIP 63119
Phone: (314) 774-0300
Get Directions

JMJ MEDICAL ENTERPRISE, LLC is a pediatrics in Saint Louis, 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. JMJ MEDICAL ENTERPRISE, LLC NPI is 1093235129. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jmj Medical.

The provider's business location address is:

8790 WATSON RD STE 201
SAINT LOUIS, MO
ZIP 63119-140
Phone: (314) 774-0300
Fax: (844) 600-1085

The provider's authorized official is Noel Casino .
The authorized official title is Practice Administrator and has the following contact phone number (314) 283-8950.

The CLIA number assigned to this NPI record is 26D2126916 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2017 and was last updated on 11/13/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsR5P40MISSOURIYes
2208D00000XGeneral PracticeR5P40MISSOURINo

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.