DR. GARY STEPHEN GOTTESMAN MD NPI 1447269444

NPI Information

NPI: 1447269444
Provider Name: DR. GARY STEPHEN GOTTESMAN, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

PECOS Registration: Yes

Address:
1 CHILDRENS PL
DIV PED ENDOCRINOLOGY AND DIABETES
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 454-6051
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DR. Gary Stephen Gottesman, MD is a clinical genetics (m.d.) medical genetics in Saint Louis, MO with 36 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Gary Stephen Gottesman, MD NPI is 1447269444. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1988

The provider's business location address is:

1 CHILDRENS PL
DIV PED ENDOCRINOLOGY AND DIABETES
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6051
Fax: (314) 454-6225

The NPI 1447269444 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 8/7/2006 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	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	R6P15	MISSOURI	Yes
2	207R00000X	Internal Medicine		R6P15	MISSOURI	No
3	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	R6P15	MISSOURI	No
4	208000000X	Pediatrics		R6P15	MISSOURI	No

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	207929712	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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