Chesterfield Pediatrics
Pediatric Adolescent Medicine
Chesterfield Pediatrics is a Chesterfield, Missouri based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
16216 Baxter Road, Suite 310, Chesterfield, Missouri - 63017. They can be contacted on phone at
636-519-8899 and fax number 636-519-0011.
NPI number (Unique professional ID) for Chesterfield Pediatrics is
1629285176 which was assigned by NPPES on 16 May, 2007 and it was last updated on 15 Oct, 2008.
Chesterfield Pediatrics license number is
RIC34 for Pediatrics Adolescent Medicine (2080A0000X) in Missouri.
Chesterfield Pediatrics 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.
Complete Profile:
Chesterfield Pediatrics basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Chesterfield Pediatrics |
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Business Address:
Chesterfield Pediatrics 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 : | 16216 Baxter Road, Suite 310
Chesterfield, MO, 63017
United States |
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| Phone Number : | 636-519-8899 |
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| Fax Number : | 636-519-0011 |
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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 : | 1629285176 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 16 May, 2007 |
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| Last Updated On : | 15 Oct, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Darryls Cohen |
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| Authorized Official Credential : | D.O. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 636-519-8899 |
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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 Chesterfield Pediatrics are as mentioned. Primary taxonomy code for Chesterfield Pediatrics is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | RIC34 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Chesterfield Pediatrics such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 501104707 | MEDICAID | MO | |
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 : | 16216 Baxter Road, Suite 310
Chesterfield, MO, 63017
United States |
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| Phone Number : | 636-519-8899 |
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| Fax Number : | 636-519-0011 |
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Business Location:
Patients can refer following map for directions to
Chesterfield Pediatrics practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.