Dr. Lisa V Suffian
MD | Pediatric Allergy-Immunology | Female
Dr. Lisa V Suffian, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Dr. Lisa V Suffian is
1 Childrens Pl, Saint Louis, Missouri - 63110-1002. She can be contacted on phone at
314-454-2694 and fax number 314-454-2515.
Dr. Lisa V Suffian is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Lisa V Suffian is
1578510509 which was assigned by NPPES on 27 May, 2006 and it was last updated on 27 Oct, 2015.
Dr. Lisa V Suffian license number is
110860 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Missouri.
Dr. Lisa V Suffian specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Dr. Lisa V Suffian basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Dr. Lisa V Suffian |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Lisa V Suffian 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
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-2694 |
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| Fax Number : | 314-454-2515 |
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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 : | 1578510509 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 May, 2006 |
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| Last Updated On : | 27 Oct, 2015 |
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Medicare Participation:
Dr. Lisa V Suffian participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 9739150343 |
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| Medicare Enrollment ID : | I20071005000245 |
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| Primary Specialty : | Allergy/immunology |
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| Medical School : | University Of Missouri, Kansas City, School Of Medicine |
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| Graduation Year : | 1996 |
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| Accepts Medicare? | Yes. Dr. Lisa V Suffian accepts medicare insurance. |
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Group Practice Association:
Dr. Lisa V Suffian 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. Lisa V Suffian 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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| Davis, Wright, Berdy, And Suffian, Pc | 9335110949 | 4 | 456 N New Ballas Rd
Suite 129
Saint Louis, MO - 631416812
Ph: 3145691881 | Yes |
| Davis, Wright, Berdy, And Suffian, Pc | 9335110949 | 4 | 5551 Winghaven Blvd
Suite 270
O Fallon, MO - 633683629
Ph: 3145691881 | 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. Lisa V Suffian are as mentioned. Primary taxonomy code for Dr. Lisa V Suffian, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 110860 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Lisa V Suffian such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 103810122 | MEDICAID | MO | |
| $$$$$$$$$ | MEDICAID | IL | |
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, C B 8116
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-2694 |
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| Fax Number : | 314-454-2515 |
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Business Location:
Patients can refer following map for directions to
Dr. Lisa V Suffian 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.