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DR. FERNANDO RAFAEL MEDINA CARBONELL M.D. NPI 1467747659


NPI Information

NPI: 1467747659
Provider Name: DR. FERNANDO RAFAEL MEDINA CARBONELL, M.D.
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104
Phone: (314) 268-4010
Get Directions

DR. Fernando Rafael Medina Carbonell, M.D. is a pediatric gastroenterology pediatrics in Saint Louis, MO. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Fernando Rafael Medina Carbonell, M.D. NPI is 1467747659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1465 S GRAND BLVD
SAINT LOUIS, MO
ZIP 63104-003
Phone: (314) 268-4010
Fax: (314) 268-2775

The NPI 1467747659 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 6/15/2011 and was last updated on 1/18/2021.


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
12080P0206XPediatricsPediatric Gastroenterology2020001532MISSOURIYes
22080P0206XPediatricsPediatric Gastroenterology29938NEBRASKANo

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: 11/14/2023

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.