NPIMap

Organization Active NPI

Forest Park Pediatrics, P.C.

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1033254248
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FOREST PARK PEDIATRICS, P.C.
Practice address
4488 Forest Park Ave
Suite 230
Saint Louis, MO 63108-2215
Phone
(314) 535-7855
Fax
(314) 534-2803
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Gail L McCarthy
Title
Office Manager
Phone
(314) 535-7855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

4488 Forest Park Ave
Suite 230
Saint Louis, MO 63108-2215

Mailing address

4488 Forest Park Ave
Suite 230
Saint Louis, MO 63108-2215
Phone (314) 535-7855

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033254248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4488 FOREST PARK AVE",
            "address_2": "SUITE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082215",
            "telephone_number": "314-535-7855",
            "fax_number": "314-534-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 FOREST PARK AVE",
            "address_2": "SUITE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082215",
            "telephone_number": "314-535-7855",
            "fax_number": "314-534-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-535-7855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.