Dr. Cassandra Michelle Pruitt
MD | Pediatrics | Female
Dr. Cassandra Michelle Pruitt, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Cassandra Michelle Pruitt is
1 Childrens Pl, Div Ped Academics, Ste 2d, Saint Louis, Missouri - 63110-1002. She can be contacted on phone at
314-454-6300 and fax number 833-969-0131.
Dr. Cassandra Michelle Pruitt is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Cassandra Michelle Pruitt is
1386736106 which was assigned by NPPES on 29 Sep, 2006 and it was last updated on 08 Feb, 2023.
Dr. Cassandra Michelle Pruitt license number is
2010013410 for Pediatrics (208000000X) in Missouri.
Dr. Cassandra Michelle Pruitt is a pediatrician who 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.
Complete Profile:
Dr. Cassandra Michelle Pruitt basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Cassandra Michelle Pruitt |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Cassandra Michelle Pruitt 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 Academics, Ste 2d
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6300 |
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| Fax Number : | 833-969-0131 |
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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 : | 1386736106 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Sep, 2006 |
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| Last Updated On : | 08 Feb, 2023 |
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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. Cassandra Michelle Pruitt are as mentioned. Primary taxonomy code for Dr. Cassandra Michelle Pruitt, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2010013410 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Cassandra Michelle Pruitt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 204208607 | MEDICAID | MO | |
| Enrolled | MEDICAID | IL | |
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 Academics, Ste 2D
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 |
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| Phone Number : | 314-454-2076 |
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| Fax Number : | 314-747-8953 |
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Business Location:
Patients can refer following map for directions to
Dr. Cassandra Michelle Pruitt 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.