CARLA RUTH DUBAN


Address: 4414 N Florissant Ave, Saint Louis, MO 63107-1812
Phone: 3148148531

CARLA RUTH DUBAN (NPI# 1154670826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154670826
Entity Type Individual
Full Name CARLA RUTH DUBAN
Credential MD
Practice Address 4414 N Florissant Ave
Saint Louis
MO 63107-1812
Mailing Address Po Box 551
Saint Louis
MO 63188-0551
Practice Telephone 3148148531
Practice Fax Number 3148148542
Mailing Telephone 3148148531
Mailing Fax Number 3148148542
Enumeration Date 2012-09-10
Last Update Date 2016-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 2011012286 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO LICENSE 2011012286 01

Office Location

Street Address 4414 N FLORISSANT AVE
City SAINT LOUIS
State MO
Zip Code 63107-1812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518930502 Lisa L. Armbruster Family Medicine 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2006-02-09
1285244368 Sima Shakiba Dentist 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2020-08-04
1245741784 Amy R Adams Dental Hygienist 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2017-10-23
1154849578 Karen D Paschel Nurse Practitioner 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2017-09-06
1285157958 Brandy Ladora Macon Physician Assistant 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2017-07-24
1528320447 Kelli M. Dorsey Dentist 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2012-06-15
1942519046 Joshua Paul Branham Physician Assistant 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2010-10-07
1144533902 Anniece Spencer Nurse Practitioner 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2010-07-22
1538333620 Lab One LLC Clinical Medical Laboratory 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2008-04-18
1336321199 Robert Taxman Internal Medicine 4414 N Florissant Ave, Saint Louis, MO 63107-1812 2007-12-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851937676 Elizabeth Lawton Counselor Elizabeth Lawton, 4220 North Grand Boulevard, Saint Louis, MO 63107 2019-11-27
1518486885 Sunflower Podiatry and Wellness Podiatrist 1316 Hebert Street, Saint Louis, MO 63107 2017-09-18
1609328996 Gina Lagarce Contractor 801 N. 11th Street, St. Louis Public Schools, Saint Louis, MO 63107 2016-11-02
1932515012 Christopher L Adams Counselor 4220 North Grand Blvd, St.louis, MO 63107 2014-07-09
1902212160 Nora Ann Boland II Counselor 4220 North Grand Blvd., St. Louis, MO 63107 2014-07-09
1700209467 Calvin Garner Social Worker 7018 Destrehan, St Louis, MO 63107 2014-01-30
1225464001 Spring Manor LLC Assisted Living Facility 3610 Palm St., Apt/suite, Saint Louis, MO 63107 2013-09-24
1518189141 Excel Home Health Care Chore Provider 2125 Bissell St, St. Louis, MO 63107 2007-05-03
1407375314 Shayla Dana Smith Counselor 4220 Grand Ave, St Louis, MO 63107 2017-09-12
1528468147 Annette Michelle Cook Counselor 4218 North Grand Blvd, St. Louis, MO 63107 2014-09-02
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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/certificatio
- 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538786413 Melissa An Pediatrics 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 2020-06-26
1538795547 Virtualnicu Pediatrics 10 Warridge Dr, Saint Louis, MO 63124-1166 2020-03-21
1174082887 Kristen Steinmeyer Pediatrics 714 Peace Haven Ct, Saint Louis, MO 63125-5404 2019-03-13
1487149498 Jessica Sims Pediatrics 1 Childrens Pl Ste 3s34, Saint Louis, MO 63110-1002 2018-06-22
1356835342 Jerome Michael Molleston Pediatrics 1 Childrens Pl Cb8116, Saint Louis, MO 63110-1081 2018-06-21
1598259566 Kylie Bushroe Pediatrics 1 Childrens Pl Ste 3n18, Saint Louis, MO 63110-1081 2018-06-21
1710492228 Ideal Pediatric Wellness, LLC Pediatrics 10007 Kennerly Rd Ste C, Saint Louis, MO 63128-2179 2017-12-06
1578083424 Michael Quinn Pediatrics Wusm Peds Infectious Diseases, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 2017-06-21
1205367612 Anchal Sethi Pediatrics 1234 S Kingshighway Blvd Ste 1200, Saint Louis, MO 63110-2170 2017-03-27
1831541895 Lila Sarah Wahidi Nolan Pediatrics Wusm Peds Newborn Medicine, 1 Childrens Pl Cb 8116, Saint Louis, MO 63110 2016-07-01
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Competitor

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City SAINT LOUIS
Zip Code 63107

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Dataset Information

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.

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