Provider Type Icon

ST LOUIS UNIVERSITY NPI 1932328796


NPI Information

NPI: 1932328796
Provider Name: ST LOUIS UNIVERSITY

Doing Business As: SLUCARE DEPT OF PEDIATRIC ADOLESCENT MEDICINE

Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

Address:
1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 268-6406
Get Directions

ST LOUIS UNIVERSITY is an adolescent medicine pediatrics in Saint Louis, MO. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. ST LOUIS UNIVERSITY NPI is 1932328796. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Slucare Dept Of Pediatric Adolescent Medicine.

The provider's business location address is:

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 268-6406

The provider's authorized official is Alyce Lanxon .
The authorized official title is Executive Director and has the following contact phone number (314) 977-6828.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 9/21/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent MedicineYes

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.