DR. MELISSA MICHELLE MAVERS MD NPI 1427349265

NPI Information

NPI: 1427349265
Provider Name: DR. MELISSA MICHELLE MAVERS, MD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
1 CHILDRENS PL
DIV PED HEMATOLOGY AND ONC
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6018
Get Directions

DR. Melissa Michelle Mavers, MD is a pediatric hematology-oncology pediatrics in Saint Louis, MO. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. DR. Melissa Michelle Mavers, MD NPI is 1427349265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 CHILDRENS PL
DIV PED HEMATOLOGY AND ONC
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6018
Fax: (844) 621-4392

The NPI 1427349265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2011 and was last updated on 4/25/2024.

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
1	208000000X	Pediatrics		2022038965	MISSOURI	No
2	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	2022038965	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	200116141	MEDICAID	MISSOURI

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

NPI Synchronization or Removal

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