Active NPI
Edith Patrice Colbert, M.D.
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1356350110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R5P08
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| R5P08 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1396981726
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.