DR. JUSTIN B JOSEPHSEN


Address: 1465 S Grand Blvd, St. Louis, MO 63104-1003
Phone: 3142684101

DR. JUSTIN B JOSEPHSEN (NPI# 1346404191) 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) 1346404191
Entity Type Individual
Full Name DR. JUSTIN B JOSEPHSEN
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 3149776828
Mailing Fax Number 3149776872
Enumeration Date 2008-07-10
Last Update Date 2015-08-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 2011010499 MO Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
2011010499 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 1465 S GRAND BLVD
City ST. LOUIS
State MO
Zip Code 63104-1003

Providers in the same location

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
1275820359 Joseph George Maliakkal Pediatrics 1465 S Grand Blvd, St. Louis, MO 63104-1003 2011-07-08
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
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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912393810 Jocelyn Ou Pediatrics 1 Children's Pl. Cb 8116, St. Louis, MO 63110-6311 2015-04-08
1841218567 Kimberly L. Spence Pediatrics 1465 S. Grand, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 2006-07-18
1609832617 Jay Allan Brenner Pediatrics St. John's Mercy Medical Center, 615 South New Ballas, St. Louis, MO 63141 2006-04-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699861740 Saumitra Biswas Pediatrics 3801 S. National Avenue, 7th Floor, Springfield, MO 65807-5210 2006-10-05
1588758759 Rajeev Kassal Pediatrics 1807 N Walnut St, Cameron, MO 64429-8615 2006-10-03
1396786117 William H. Topper Pediatrics 416 Sw Wintergarden Dr, Lees Summit, MO 64081-2670 2006-06-10
1437116050 Ozark Neonatal Associates, Inc. Pediatrics 1235 E Cherokee Street, Springfield, MO 65804-2203 2006-04-27
1760962385 Kisha Marie Linwood Pediatrics 404 N Keene St, Columbia, MO 65201-6626 2018-08-14
1336628247 Elizabeth Nicole Crank Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1081 2018-08-10
1982107421 Margaret Bayley Halbert Pediatrics 4401 Wornall Rd, Kansas City, MO 64111-3220 2018-03-12
1275045171 Kelsey Southard Pediatrics 3801 S National Ave, Springfield, MO 65807-5210 2017-11-01
1841607389 Zaineh Alja'nini Pediatrics 1235 E Cherokee St, Springfield, MO 65804-2203 2014-07-16
1043626013 Fnu Karishma Rao Pediatrics 2401 Gillham Rd, Kansas City, MO 64108-4619 2014-07-10
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Competitor

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City ST. LOUIS
Zip Code 63104

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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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