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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 2011012286 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | LICENSE | 2011012286 | 01 |
Street Address |
4414 N FLORISSANT AVE |
City | SAINT LOUIS |
State | MO |
Zip Code | 63107-1812 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 63107 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63107 |
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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.