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).
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 |
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 |
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 |
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 |
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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 Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
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. |
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 |
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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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.