AFFTON MEDICAL CLINIC (NPI# 1528251337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528251337 |
| Entity Type | Organization |
| Organization Name | AFFTON MEDICAL CLINIC |
| Practice Address |
84 Grasso Plaza St Louis MO 63123 |
| Mailing Address |
Po Box 4341 Saint Louis MO 63123-0141 |
| Practice Telephone | 3146389309 |
| Practice Fax Number | 3146379333 |
| Mailing Telephone | 3146389309 |
| Mailing Fax Number | 3146389333 |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2012-03-01 |
| Authorized Official Name | RUBILINDA CASINO (PRESIDENT) |
| Authorized Official Telephone | 3146389309 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 50291440 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114048154 | Affton Medical Clinic | Pediatrics | 59 Grasso Plz, Saint Louis, MO 63123-3107 | 2007-04-03 |
| Street Address |
84 GRASSO PLAZA |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770002610 | Peter Brown | Home Health Aide | 9530 Antigo Dr, St Louis, MO 63123 | 2017-09-12 |
| 1346629748 | Emily Murray | Community/Behavioral Health | 7556 Genesta Street, Saint Louis, MO 63123 | 2015-05-19 |
| 1730566183 | Family Home & Health Care Services | Home Health | 9124 Lemona Drive, Saint Louis, MO 63123 | 2015-05-05 |
| 1114319092 | Kathi Wallace | Counselor | 11166 Tesson Ferry Rd., Suite #203 Alpha Omega Christian Counseling, St. Louis, MO 63123 | 2015-03-02 |
| 1982981098 | Robert Arthur Bilzing | Pharmacist | 9949 Tesson Ferry Rd, St. Louis, MO 63123 | 2011-11-03 |
| 1760767198 | Valentina Jovic | Pharmacist | 5764 South Lindbergh Blvd, St. Louis, MO 63123 | 2011-10-17 |
| 1033423504 | Margaret L Shields Inc | Podiatrist | 11132 South Towne Square, Ste 105, St Louis, MO 63123 | 2010-07-27 |
| 1083858336 | John David Bouhasin | Pediatrics | 7629 Bracken Circle, St. Louis, MO 63123 | 2009-04-29 |
| 1326288929 | Erica J Fahrner | Occupational Therapist | 6022 S. Lindbergh, Suite 100, Saint Louis, MO 63123 | 2009-02-23 |
| 1629248158 | Maria Ramona Eppler | Nurse Practitioner | 4217 Bayless Ave., St. Louis, MO 63123 | 2008-03-12 |
| Find all providers in zip 63123 | ||||
| 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 |
|---|---|---|---|---|
| 1083090054 | Chaowapong Jarasvaraparn | Pediatrics | Wusm Peds Gastroenterology, Hepato, Childrens Pl Cb 8116, St Louis, MO 63110 | 2015-07-31 |
| 1669899878 | Rene Martin Roy | Pediatrics | 1 Childrens Place Cb 8116, St Louis, MO 63110-1002 | 2014-03-25 |
| 1699018184 | Peymaun Vakhshoorzadeh | Pediatrics | Wusm Peds Cardiology, 1 Childrens Pl, Cb 8116, St Louis, MO 63110 | 2013-04-03 |
| 1356416754 | Abraham Manuel Phillips | Pediatrics | 777 South New Ballas Road, Suite 223w, St Louis, MO 63141 | 2006-11-21 |
| 1235225418 | Danielle St Leger | Pediatrics | 802 N Kingshighway, St Louis, MO 63108 | 2006-10-05 |
| 1316033525 | Amy Elizabeth Thomas | Pediatrics | 1465 South Grand 6644, St Louis, MO 63104 | 2006-10-05 |
| 1124081708 | Bonita M Wolff | Pediatrics | 1465 S Grant Blvd, Cardinal Glennon Childrens Medical Center, St Louis, MO 63104 | 2006-04-06 |
| 1740702703 | Jonathan Raphael Schweber | Pediatrics | 1 Children's Pl Cb 8116, St Louis, MO 63110 | 2017-07-12 |
| 1922529924 | Meghana Srinivas | Pediatrics | 1 Childrens Pl Cb 8116, St Louis, MO 63110 | 2017-06-29 |
| 1124571633 | Megha Malhotra | Pediatrics | 1 Childrens Pl Cb 8116, St Louis, MO 63110 | 2016-08-01 |
| Find all providers in ST LOUIS | ||||
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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.