DR. JOSEPH GEORGE MALIAKKAL (NPI# 1275820359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275820359 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH GEORGE MALIAKKAL |
| Credential | M.D. |
| Practice Address |
1465 S Grand Blvd St. Louis MO 63104-1003 |
| Mailing Address |
3691 Rutger Ave St. Louis MO 63110-2515 |
| Practice Telephone | 3142684101 |
| Practice Fax Number | 3145775379 |
| Mailing Telephone | (314) 977-6828 |
| Mailing Fax Number | 3149776872 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2017-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2017018898 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1465 S GRAND BLVD |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033115589 | Shulamit Menashe Portnoy | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2005-06-21 |
| 1982959433 | Anya Jennifer Freedman | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-07-20 |
| 1508125295 | Neal Russell Hartman | Emergency Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2012-05-15 |
| 1043500416 | Lauren Rhae Draper | Pediatrics | 1465 S Grand Blvd, Department of Pediatrics Division of Heme/onc, St. Louis, MO 63104 | 2011-04-19 |
| 1043500507 | Debra H Zand | Psychologist | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-04-18 |
| 1548569734 | Elisa Rachel Pincus | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2011-03-28 |
| 1265747596 | Dhiren Ranchhodbhai Patel | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2010-08-11 |
| 1346404191 | Justin B Josephsen | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-07-10 |
| 1043471477 | Rocio Del Carmen Zeballos-chavez | Internal Medicine | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-06-18 |
| 1013195122 | Margaret Kathleen Siska | Pediatrics | 1465 S Grand Blvd, St. Louis, MO 63104-1003 | 2008-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| 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 |
|---|---|---|---|---|
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1861987521 | Miranda Lyn Edmunds | Pediatrics | One Children's Place 3s34, St. Louis, MO 63110 | 2018-06-26 |
| 1013402924 | Caroline Kellagher Noel | Pediatrics | St. Louis Children's Hospital, 3s34, One Children's Place, St. Louis, MO 63110 | 2018-06-25 |
| 1063770949 | Margaret Mary Keane | Pediatrics | 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 | 2012-04-27 |
| 1457620916 | Gerald Wool | Pediatrics | 731 Oakbrook Lane, St. Louis, MO 63132-4936 | 2011-12-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1245469311 | Henry Leroy Knock | Pediatrics | 405 Lennore Ave., St. Louis, MO 63122 | 2009-07-09 |
| 1841432796 | Fahd Aqeeb Ahmad | Pediatrics | #1 Children's Place, St. Louis Children's Hospital, St. Louis, MO 63110 | 2009-03-24 |
| 1043413842 | Kristen M Mennemeier | Pediatrics | 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131-2308 | 2007-06-08 |
| 1821218637 | Lisa Marie Schrock | Pediatrics | 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 | 2007-04-26 |
| Find all providers in ST. LOUIS | ||||
Please comment or provide details below to improve the information on DR. JOSEPH GEORGE MALIAKKAL.
| 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.