Individual provider Active NPI

Edith Patrice Colbert, M.D.

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1356350110
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R5P08 Issued in MO
Practice address
8007 Saint Charles Rock Rd
Saint Louis, MO 63114-5363
Phone
(314) 423-8195
Fax
(314) 423-2158
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R5P08 MO Primary

Addresses

Primary practice location

8007 Saint Charles Rock Rd
Saint Louis, MO 63114-5363

Mailing address

8007 Saint Charles Rock Rd
Saint Louis, MO 63114-5363
Phone (314) 423-8195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R5P08MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Episcopal-Presbyterian Hospital Past Accepting new patients
St. Lukes Medical Group Pediatrics Past Accepting new patients
St. Lukes Pediatric Care Pediatrics Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1356350110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8007 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145363",
            "telephone_number": "314-423-8195",
            "fax_number": "314-423-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8007 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145363",
            "telephone_number": "314-423-8195",
            "fax_number": "314-423-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "EDITH",
        "middle_name": "PATRICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R5P08",
            "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 Nov 19, 2007; 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.