Dr. Alexandra Nicole Theisen
MD, MS | Pediatric Rheumatology | Female
Dr. Alexandra Nicole Theisen, MD, MS is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Rheumatology.
Current practice location of Dr. Alexandra Nicole Theisen is
1465 S Grand Blvd, Saint Louis, Missouri - 63104-1003. She can be contacted on phone at
314-633-7365 and fax number 314-977-8818.
Dr. Alexandra Nicole Theisen is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Alexandra Nicole Theisen is
1225486160 which was assigned by NPPES on 01 Jun, 2016 and it was last updated on 10 Aug, 2022.
Dr. Alexandra Nicole Theisen license number is
2022019876 for Pediatrics Pediatric Rheumatology (2080P0216X) in Missouri.
Dr. Alexandra Nicole Theisen treats diseases of joints, muscle, bones and tendons. A pediatric rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Complete Profile:
Dr. Alexandra Nicole Theisen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Rheumatology |
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| Provider Name : | Dr. Alexandra Nicole Theisen |
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| Credential : | MD, MS |
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| Gender : | Female |
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Business Address:
Dr. Alexandra Nicole Theisen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1465 S Grand Blvd
Saint Louis, MO, 63104-1003
United States |
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| Phone Number : | 314-633-7365 |
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| Fax Number : | 314-977-8818 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225486160 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Jun, 2016 |
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| Last Updated On : | 10 Aug, 2022 |
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Medicare Participation:
Dr. Alexandra Nicole Theisen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5991096075 |
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| Medicare Enrollment ID : | I20220728001420 |
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| Primary Specialty : | Rheumatology |
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| Medical School : | Southern Illinois University School Of Medicine |
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| Graduation Year : | 2016 |
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| Accepts Medicare? | Yes. Dr. Alexandra Nicole Theisen accepts medicare insurance. |
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Group Practice Association:
Dr. Alexandra Nicole Theisen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Alexandra Nicole Theisen is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Ssm Health Care Group | 0143608372 | 564 | 1465 S Grand Blvd
Saint Louis, MO - 631041003
Ph: 3145775641 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Alexandra Nicole Theisen are as mentioned. Primary taxonomy code for Dr. Alexandra Nicole Theisen, MD, MS is
2080P0216X (Pediatrics Pediatric Rheumatology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 2022019876 | MO |
| 2080P0216X | Pediatrics Pediatric Rheumatology | Yes | 2022019876 | MO |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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705 RILEY HOSPITAL DR RM 5867,
INDIANAPOLIS, IN, 46202-5109
United States | INDIANAPOLIS, IN | 317-944-4034 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1465 S Grand Blvd
Saint Louis, MO, 63104-1003
United States |
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| Phone Number : | 314-633-7365 |
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| Fax Number : | 314-977-8818 |
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Business Location:
Patients can refer following map for directions to
Dr. Alexandra Nicole Theisen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.