Dr. Brian Ross Stotter
MD | Pediatric Nephrology | Male
Dr. Brian Ross Stotter, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Brian Ross Stotter is
1 Childrens Pl, Div Ped Nephrology, Saint Louis, Missouri - 63110-1002. He can be contacted on phone at
314-454-6043 and fax number 888-463-6898.
Dr. Brian Ross Stotter is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brian Ross Stotter is
1649619453 which was assigned by NPPES on 14 Jun, 2013 and it was last updated on 15 Nov, 2021.
Dr. Brian Ross Stotter license number is
2019019576 for Pediatrics Pediatric Nephrology (2080P0210X) in Missouri.
Dr. Brian Ross Stotter deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Brian Ross Stotter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Nephrology |
---|
Provider Name : | Dr. Brian Ross Stotter |
---|
Credential : | MD |
---|
Gender : | Male |
---|
Business Address:
Dr. Brian Ross Stotter 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 : | 1 Childrens Pl, Div Ped Nephrology Saint Louis, MO, 63110-1002 United States |
---|
Phone Number : | 314-454-6043 |
---|
Fax Number : | 888-463-6898 |
---|
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 : | 1649619453 |
---|
NPI Entity Type : | Individual |
---|
First Enrolment Date : | 14 Jun, 2013 |
---|
Last Updated On : | 15 Nov, 2021 |
---|
Medicare Participation:
Dr. Brian Ross Stotter participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 3577852888 |
---|
Medicare Enrollment ID : | I20190725001979 |
---|
Primary Specialty : | Pediatric Medicine |
---|
Medical School : | Tufts University School Of Medicine |
---|
Graduation Year : | 2013 |
---|
Accepts Medicare? | Yes. Dr. Brian Ross Stotter accepts medicare insurance. |
---|
Group Practice Association:
Dr. Brian Ross Stotter 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. Brian Ross Stotter is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
---|
Washington University | 9830008770 | 2383 | 1 Childrens Pl Saint Louis, MO - 631101002 | 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. Brian Ross Stotter are as mentioned. Primary taxonomy code for Dr. Brian Ross Stotter, MD is
2080P0210X (Pediatrics Pediatric Nephrology).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
208000000X | Pediatrics | No | 2019019576 | MO |
2080P0210X | Pediatrics Pediatric Nephrology | Yes | 2019019576 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Brian Ross Stotter such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
---|
200071798 | MEDICAID | MO | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
---|
FHIR (FHIR URL) | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| |
|
| 1 CHILDRENS PL, DIV PED NEPHROLOGY SAINT LOUIS, MO, 63110-1002 United States |
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 : | 1 Childrens Pl, Msc 8515-87-1200 Saint Louis, MO, 63110-1002 United States |
---|
Phone Number : | 314-454-6043 |
---|
Fax Number : | 888-463-6898 |
---|
Business Location:
Patients can refer following map for directions to
Dr. Brian Ross Stotter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.