AMAL F ANTOUN


Address: 1717 Biddle St, Saint Louis, MO 63106-3454
Phone: 3148148531

AMAL F ANTOUN (NPI# 1750310439) 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) 1750310439
Entity Type Individual
Full Name AMAL F ANTOUN
Other Name AMAL F GHALY
Credential M.D.
Practice Address 1717 Biddle St
Saint Louis
MO 63106-3454
Mailing Address Po Box 551
Saint Louis
MO 63188-0551
Practice Telephone 3148148531
Practice Fax Number 3148148542
Mailing Telephone 3148148531
Mailing Fax Number 3148148542
Enumeration Date 2006-07-03
Last Update Date 2017-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
MO 36283 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MO 201719820 05

Office Location

Street Address 1717 BIDDLE ST
City SAINT LOUIS
State MO
Zip Code 63106-3454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588660641 Yolette V Brown Pediatrics 1717 Biddle St, Saint Louis, MO 63106-3454 2005-06-23
1245837038 Steven Hernandez Dentist 1717 Biddle St, Saint Louis, MO 63106-3454 2020-10-05
1174185805 Annie Marie Baro Dentist 1717 Biddle St, Saint Louis, MO 63106-3454 2019-07-02
1598325086 Kristen D Beatty Social Worker 1717 Biddle St, Saint Louis, MO 63106-3454 2019-06-17
1952882631 Emily D Harms Social Worker 1717 Biddle St, Saint Louis, MO 63106-3454 2018-08-22
1326540196 Sonia Louise Deal Registered Nurse 1717 Biddle St, Saint Louis, MO 63106-3454 2018-03-07
1295259877 Kourosh Nakhaei Dentist 1717 Biddle St, Saint Louis, MO 63106-3454 2017-07-26
1124482799 Patrick Schoenwalder Physician Assistant 1717 Biddle St, Saint Louis, MO 63106-3454 2016-04-11
1306217401 Tritobia Jones Social Worker 1717 Biddle St, Saint Louis, MO 63106-3454 2015-10-14
1255719530 Mahamaya Bhattacharyya Psychiatry & Neurology 1717 Biddle St, Saint Louis, MO 63106-3454 2015-05-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770027997 Superior Manor of Downtown LLC Assisted Living Facility 1501 Clinton St., St Louis, MO 63106 2016-12-07
1811361454 James Preston Jr. Pharmacist 915 N. Grand Vlvd, Pharmacy Dept., John Cochran Va Medical Center, Saint Louis, MO 63106 2015-11-19
1245656354 Julie Marie Albsmeyer Physician Assistant 915 North Grand 111-jc-gi, John Cochran Va Hospital, St. Louis, MO 63106 2014-03-13
1932523230 Cathy Yeung Registered Nurse 715 N Grand Blvd., St Louis, MO 63106 2014-02-07
1902149388 Amanda Foley Doula 4056 Humphrey Street, Saint Louis, MO 63106 2013-04-03
1942569876 Cornelia Charles Internal Medicine 915 Norh Grand Blvd, Saint Louis, MO 63106 2012-05-12
1124334396 Kasandra Ann Tinajero Registered Nurse 915 N. Grand Blvd., St. Louis, MO 63106 2010-08-26
1366673931 Cassandra Vernetta Talbert Social Worker 915 N. Grand., 122/jc Social Work Dept. V.a. Medical Center, St. Louis, MO 63106 2009-07-30
1497910707 Robert Louis Tillman Pharmacy Technician 915 N Grand Ave, St. Louis, MO 63106 2008-07-25
1861676686 Bradley Dean Overmeyer Social Worker 915 N Grand Blvd., Social Work Service, St. Louis, MO 63106 2007-12-28
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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
1114048154 Affton Medical Clinic Pediatrics 59 Grasso Plz, Saint Louis, MO 63123-3107 2007-04-03
1932328796 St Louis University Pediatrics 1465 S Grand Blvd, Saint Louis, MO 63104-1003 2007-04-24
1760556708 Ariane E May Pediatrics 4055 Lindell Blvd, Saint Louis, MO 63108-3201 2006-11-20
1518030097 Jill M. Baer Pediatrics 3009 N Ballas Rd, Suite 257-c, Saint Louis, MO 63131-2322 2006-11-15
1801999768 Joyce D Johnson Pediatrics 6744 Clayton Rd, Saint Louis, MO 63117-1637 2006-09-06
1730295759 Joseph Prusaczyk Pediatrics 13035 Olive Blvd, Saint Louis, MO 63141-6173 2006-08-22
1649292780 Sarah Ann Tycast Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2006-07-25
1528081544 Lynn K White Pediatrics 1 Childrens Pl, Saint Louis, MO 63110-1002 2006-07-25
1023036746 Maryjo Hernandez-zipfel Pediatrics 4055 Lindell Blvd, Saint Louis, MO 63108-3201 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366670796 Fernando Fernandez, M. D. PC Pediatrics 2750 Clay Edwards Dr Ste 320, North Kansas City, MO 64116-3259 2009-06-24
1073733069 Kelly Jo Meier Pediatrics 2719 E 32nd St, Joplin, MO 64804-3131 2007-05-01
1851417794 Shari L Smith Pediatrics 200 Castle Drive, Joplin, MO 64804-9115 2007-03-22
1811076763 Nedra Diann Twillie Pediatrics 415 Burkarth Rd Ste D, Warrensburg, MO 64093-3101 2006-11-03
1740209162 Nancy Elizabeth Holmes Pediatrics 8888 Ladue Road, Suite 130, St. Louis, MO 63124 2006-07-18
1194770883 Ann A Gassman Pediatrics 503 N Scott Ave, Belton, MO 64012-1730 2006-05-23
1841299161 Bryson Roy Mchardy Jr. Pediatrics 100 Medical Dr, Hannibal, MO 63401-6877 2005-07-19
1245239797 Jeffrey Paul Yannette Pediatrics 821 Sw Lemans Lane, Lees Summit, MO 64082 2005-07-18
1679570618 Carolyn Ann Ellsworth Pediatrics 312 N Kentucky St, West Plains, MO 65775-2073 2005-07-06
1528064102 Joseph William Stafford Jr. Pediatrics 312 N Kentucky Ave, West Plains, MO 65775-2073 2005-06-28
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Competitor

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City SAINT LOUIS
Zip Code 63106

Improve Information

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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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