Dr. Shawn Robert Reathaford
MD | Pediatrics | Male
Dr. Shawn Robert Reathaford, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shawn Robert Reathaford is
4488 Forest Park Ave, Ste 230, Saint Louis, Missouri - 63108-2283. He can be contacted on phone at
314-535-7855 and fax number 314-534-2803.
Dr. Shawn Robert Reathaford is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Shawn Robert Reathaford is
1669572343 which was assigned by NPPES on 23 Sep, 2006 and it was last updated on 09 Dec, 2022.
Dr. Shawn Robert Reathaford license number is
2017039852 for Pediatrics (208000000X) in Missouri.
Dr. Shawn Robert Reathaford 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. Shawn Robert Reathaford basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Shawn Robert Reathaford |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Shawn Robert Reathaford 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 : | 4488 Forest Park Ave, Ste 230
Saint Louis, MO, 63108-2283
United States |
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| Phone Number : | 314-535-7855 |
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| Fax Number : | 314-534-2803 |
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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 : | 1669572343 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Sep, 2006 |
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| Last Updated On : | 09 Dec, 2022 |
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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. Shawn Robert Reathaford are as mentioned. Primary taxonomy code for Dr. Shawn Robert Reathaford, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | No | 2017039852 | MO |
| 208M00000X | Hospitalist | No | 2017039852 | MO |
| 208000000X | Pediatrics | Yes | 2017039852 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shawn Robert Reathaford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200049825 | 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/
| |
|
| 4488 Forest Park Ave, Ste 230
Saint Louis, MO, 63108-2283
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 : | 4488 Forest Park Ave, Ste 230
Saint Louis, MO, 63108-2283
United States |
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| Phone Number : | 314-535-7855 |
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| Fax Number : | 314-534-2803 |
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Business Location:
Patients can refer following map for directions to
Dr. Shawn Robert Reathaford 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.