PEDIATRIX MEDICAL GROUP (NPI# 1326399601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326399601 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP |
| Practice Address |
615 S New Ballas Rd Neonatal Intensive Care Unit Saint Louis MO 63141-8221 |
| Mailing Address |
621 S New Ballas Rd Suite # 2016b Saint Louis MO 63141-8232 |
| Practice Telephone | 3142516450 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | SUZANNE HENTRICH (HOSPITAL ASSOCIATE) |
| Authorized Official Telephone | 3142515860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 2012029888 | MO | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114122900 | Pediatrix Medical Group | Pediatrics | Pda 37 Ave Ponce De Leon, San Juan, PR 00902 | 2007-06-20 |
| 1881619781 | Pediatrix Medical Group | Nurse Practitioner | 2620 W 143rd St, Leawood, KS 66224-9679 | 2006-07-12 |
| 1093959157 | Pediatrix Medical Group | Nurse Practitioner | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2009-04-20 |
| 1467677476 | Pediatrix Medical Group | General Acute Care Hospital | 777 Hemlock St, Box 119, Macon, GA 31207-0001 | 2007-04-16 |
| 1730265166 | Pediatrix Medical Group | General Acute Care Hospital | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2006-10-27 |
| 1326150426 | Pediatrix Medical Group | General Acute Care Hospital | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2006-08-31 |
| 1235168980 | Pediatrix Medical Group | Pediatrics | 621 S New Ballas Rd, Suite 2016b, Saint Louis, MO 63141-8232 | 2006-07-02 |
| 1740234145 | Pediatrix Medical Group | General Acute Care Hospital | 1201 W 38th St, Neonatal Department, Austin, TX 78705-1006 | 2006-05-20 |
| 1023069036 | Pediatrix Medical Group | General Acute Care Hospital | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2006-05-14 |
| 1972554962 | Pediatrix Medical Group | Nurse Practitioner | 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082-3542 | 2006-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Alabama Business Registrations | Pediatrix Medical Group of Florida, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Oregon Corporations, Companies and Business Names | PEDIATRIX MEDICAL GROUP OF OREGON | 1301 Concord Terr, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group of the Mid-Atlantic P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Washington State Corporations | PEDIATRIX MEDICAL GROUP OF WASHINGTON, INC., P.S. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Virginia Business Entities | Pediatrix Medical Group Regional Inc. | 1301 Concord Ter, Sunrise, Florida 33323 |
| Colorado Business Entities | Pediatrix Medical Group, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Street Address |
615 S NEW BALLAS RD NEONATAL INTENSIVE CARE UNIT |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780689182 | Robert W Allen | Anesthesiology | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2005-06-14 |
| 1033722061 | Ashley Maull | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-28 |
| 1508476367 | Ryan Nathan | Student in an Organized Health Care Education/Training Program | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-06 |
| 1992315857 | Corey Weicht | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-08-05 |
| 1063021905 | Alexandria Colleen Grodie | Nurse Practitioner | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-27 |
| 1396353892 | Fahad Bin Tahir | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-07-21 |
| 1588281307 | Alexander Cai | Dentist | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-26 |
| 1083231070 | Lauren Gonzalez | Anesthesiologist Assistant | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-25 |
| 1780200253 | Matthew Davis | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-22 |
| 1902422421 | Megan Reidy Landis | Family Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2020-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912368002 | Emily Daniels | General Acute Care Hospital | 1737 Redbird Cv, Saint Louis, MO 63144-1610 | 2016-03-16 |
| 1841698164 | Mercy Clinic East Community | General Acute Care Hospital | 1021 Darwick Ct, Saint Louis, MO 63132-2909 | 2014-12-18 |
| 1730528662 | Barnes Jewish Hospital | General Acute Care Hospital | 4512 Cleveland Ave, Apt 12, Saint Louis, MO 63110-3318 | 2013-06-25 |
| 1720355068 | Ipc The Hospitalist Company | General Acute Care Hospital | 12125 Woodcrest Executive Dr Ste 220, Saint Louis, MO 63141-5010 | 2011-11-30 |
| 1346520400 | Barnes Jewish Hospital | General Acute Care Hospital | 1 Barnes Plaza, Saint Louis, MO 63110-1003 | 2011-08-22 |
| 1245527068 | Barnes Jewish Hospital | General Acute Care Hospital | 4460 Greenwich Ct, Apt B9, Saint Louis, MO 63108-2558 | 2011-06-30 |
| 1649429945 | Des Peres Hospital | General Acute Care Hospital | 12442 Bennett Springs Court, Saint Louis, MO 63146 | 2008-09-11 |
| 1760687255 | Saint Louis University Hospital | General Acute Care Hospital | 7730 Attingham Ln, Saint Louis, MO 63119-5470 | 2007-06-15 |
| 1154455095 | St. John's Mercy Medical Center | General Acute Care Hospital | 12680 Olive Blvd Ste 10, Saint Louis, MO 63141-6322 | 2007-03-15 |
| 1649299827 | Barnes Jewish Hospital | General Acute Care Hospital | 1 Barnes-jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2006-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.