Active NPI
South County Pediatric Associates PC
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1356462253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- SOUTH COUNTY PEDIATRIC ASSOCIATES PC
- Practice address
- 4850 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63129 - Phone
- (314) 849-3320
- Fax
- (314) 849-7766
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Irma I Ortiz-Arroyo, M.D.
- Title
- President
- Phone
- (314) 849-3320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4850 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63129
Mailing address
4850 Lemay Ferry Rd
Ste 120
Saint Louis, MO 63129-1576
Phone (314) 849-3320
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1285627356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533081600000",
"number": "1356462253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4850 LEMAY FERRY RD",
"address_2": "STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291576",
"telephone_number": "314-849-3320",
"fax_number": "314-849-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4850 LEMAY FERRY RD",
"address_2": "STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63129",
"telephone_number": "314-849-3320",
"fax_number": "314-849-7766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COUNTY PEDIATRIC ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2018-08-01",
"status": "A",
"authorized_official_last_name": "ORTIZ-ARROYO",
"authorized_official_first_name": "IRMA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-849-3320",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- South County Internal Medicine Inc.
- South County Orthopedics and Sports Medicine Inc
- South County Outpatient Surgery Center LP
- South County Pain Institute LLC
- South County Pain Institute LLC
- South County Pet Imaging, LLC
- South County Radiologists, Inc
- South County Sport & Spine, LLC
- South County Surgical Center, LLC
- South County Surgical Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.