DR. ITAY MARMOR (NPI# 1962056788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962056788 |
| Entity Type | Individual |
| Full Name | DR. ITAY MARMOR |
| Credential | MD |
| Practice Address |
1 Childrens Pl Cb 8116 St. Louis MO 63110 |
| Practice Telephone | 3144546124 |
| Practice Fax Number | 3144544861 |
| Mailing Telephone | 3144546124 |
| Mailing Fax Number | 3144544861 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2019023813 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
1 CHILDRENS PL CB 8116 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326490566 | Aayush Khanal | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110 | 2016-07-12 |
| 1073964722 | Alexa Michelle Altman Doss | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110 | 2016-06-23 |
| 1245680669 | Ameena Noor Husain | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110 | 2016-06-16 |
| 1730534843 | Jenna Natalia Diaz | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110 | 2016-04-26 |
| 1245693878 | Michael Alan Kramer | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110 | 2016-03-31 |
| 1205298981 | Ashley Davidson Turner | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110 | 2016-03-22 |
| 1508246778 | Angela Nicole Lewis | Pediatrics | 1 Childrens Pl Cb 8116, St. Louis, MO 63110-1002 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1861987521 | Miranda Lyn Edmunds | Pediatrics | One Children's Place 3s34, St. Louis, MO 63110 | 2018-06-26 |
| 1013402924 | Caroline Kellagher Noel | Pediatrics | St. Louis Children's Hospital, 3s34, One Children's Place, St. Louis, MO 63110 | 2018-06-25 |
| 1063770949 | Margaret Mary Keane | Pediatrics | 1465 South Grand Boulevard, Room 1204, Ssm Cardinal Glennon Children's Medical Center, St. Louis, MO 63104 | 2012-04-27 |
| 1457620916 | Gerald Wool | Pediatrics | 731 Oakbrook Lane, St. Louis, MO 63132-4936 | 2011-12-29 |
| 1255637799 | Kyu S Her | Pediatrics | 624 Haverford Road, St. Louis, MO 63124 | 2011-02-01 |
| 1245469311 | Henry Leroy Knock | Pediatrics | 405 Lennore Ave., St. Louis, MO 63122 | 2009-07-09 |
| 1841432796 | Fahd Aqeeb Ahmad | Pediatrics | #1 Children's Place, St. Louis Children's Hospital, St. Louis, MO 63110 | 2009-03-24 |
| 1043413842 | Kristen M Mennemeier | Pediatrics | 3009 N. Ballas Rd., Suite 257c, St. Louis, MO 63131-2308 | 2007-06-08 |
| 1821218637 | Lisa Marie Schrock | Pediatrics | 1465 South Grand Blvd. Ssm Glennon Care -, Cardinal Glennon Children's Medical Center, St. Louis, MO 63104-1095 | 2007-04-26 |
| Find all providers in ST. LOUIS | ||||
Please comment or provide details below to improve the information on DR. ITAY MARMOR.
| 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.