Pediatric Care for Kids

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC CARE FOR KIDS

Practice address

4100 Forest Park Ave
Suite 101a
Saint Louis, MO 63108-2885

Phone

(636) 698-8300

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Blaine Sayre, MD

Title

President

Phone

(636) 698-8300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1083979280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FOREST PARK AVE",
            "address_2": "SUITE 101A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082885",
            "telephone_number": "636-698-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 FOREST PARK AVE",
            "address_2": "SUITE 101A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082885",
            "telephone_number": "636-698-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARE FOR KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-698-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajeshwar Peddi, MD
• Blake Edwin Pedersen, D.O.
• Peder Pedersen
• Rebecca Pederson
• Pediatric Behavior Specialists, LLC
• Pediatric Orthotic and Prosthetic Services - Northwest, LLC
• Pediatric Urology Specialists, PC
• Pediatrix Medical Group
• Pediatrix Medical Group
• Pediatrix Medical Group of Missouri, P.C.

• Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.