DR. ANDREA GRANADOS (NPI# 1073830204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073830204 |
| Entity Type | Individual |
| Full Name | DR. ANDREA GRANADOS |
| Credential | MD |
| Practice Address |
1 Childrens Pl Ste C Ste C Saint Louis MO 63110-1002 |
| Mailing Address |
1 Childrens Pl Nwt 8328 Cb 8116 Saint Louis MO 63110-1002 |
| Practice Telephone | 3144546051 |
| Practice Fax Number | 3144546225 |
| Mailing Telephone | 3144546051 |
| Mailing Fax Number | 3144546225 |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2015013313 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
2015013313 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357083 | Andrea Granados | Student in an Organized Health Care Education/Training Program | 20240 E Cienega Ave, Covina, CA 91724-1227 | 2020-08-23 |
| 1750859963 | Andrea Granados | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-11-06 |
| 1538438320 | Andrea Morales Granados | Rehabilitation Practitioner | 12440 Firestone Blvd, Norwalk, CA 90650-4328 | 2011-12-22 |
| Street Address |
1 CHILDRENS PL STE C STE C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164428389 | Tasnim A Najaf | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2005-06-22 |
| 1942712278 | Claire Elizabeth Seper | Nurse Practitioner | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-10-26 |
| 1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
| 1184161820 | Linda Piersall Manwaring | Genetic Counselor, MS | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-19 |
| 1891231544 | Marisa Vineyard Andrews | Genetic Counselor, MS | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-18 |
| 1467998112 | Elise Marguerite Fiala | Genetic Counselor, MS | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-18 |
| 1487019394 | Ericka Lauren Louer | Nurse Practitioner | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2015-12-18 |
| 1588043632 | Diana Lynn Culbertson | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2015-05-21 |
| 1790106391 | Andrea Nicole Herkenhoff | Nurse Practitioner | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2013-12-27 |
| 1235490400 | Brooke I Polk | Pediatrics | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881813665 | St Louis University | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2007-04-24 |
| 1063527414 | David P Dempsher | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-08-19 |
| 1760596126 | Mark C Eddy | Pediatrics | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558909564 | Lester E Cox Medical Centers | Pediatrics | 1011 E Montclair St, Springfield, MO 65807-5075 | 2019-12-20 |
| 1710320775 | Sonalee Jaya Ravi | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2013-04-09 |
| 1386905768 | Jennifer Walters Boyd | Pediatrics | 2401 Gillham Rd, Endocrinology, Kansas City, MO 64108 | 2012-06-02 |
| 1912264789 | Sarah Jane Lenihan Tsai | Pediatrics | 2401 Gillham Rd, Children's Mercy Hospital, Division of Endocrinology, Kansas City, MO 64108-4619 | 2012-04-18 |
| 1609183284 | Pratibha Rana | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-09-02 |
| 1083843346 | Kiran S Choudhry | Pediatrics | 402 N Keene St, Ste 101, Columbia, MO 65201-6986 | 2009-07-08 |
| 1013195122 | Margaret Kathleen Siska | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-01-31 |
| 1114114691 | Childrens Endocrine Care of St. Louis, LLC | Pediatrics | 621 S New Ballas Rd, Suite 3002 B, Creve Coeur, MO 63141-8232 | 2007-09-28 |
| 1932393105 | Julia Rodica Broussard | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-08-30 |
| 1588857817 | Yun Yan | Pediatrics | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2007-08-21 |
| Find all providers with the same taxonomy | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.