Individual provider Active NPI

John H. Giroux, M.D.

  • Pediatrics Physician
  • Alton, IL
National Provider Identifier
1396774485
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036074739 Issued in IL
Practice address
550 Landmarks Blvd
Alton, IL 62002-6321
Phone
(618) 463-0649
Fax
(618) 465-3390
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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 036074739 IL Primary

Addresses

Primary practice location

550 Landmarks Blvd
Alton, IL 62002-6321

Mailing address

550 Landmarks Blvd
Alton, IL 62002-6321
Phone (618) 463-0649

Other identifiers 1

IdentifierTypeStateIssuer
036-074739MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902001961 MO Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 8325262652 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jul 28, 2015 Accepting new patients

Locations

211 S 3rd St
Belleville, IL 62220
Phone (618) 234-2700

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

300 Medical Plz
Ste 221
Lake St Louis, MO 63367
Phone (636) 561-2229

100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200

2963 Doddridge Ave
Maryland Hts, MO 63043
Phone (314) 291-3909

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

1465 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 268-4070

Organizations & group practices 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1396774485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 LANDMARKS BLVD",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026321",
            "telephone_number": "618-463-0649",
            "fax_number": "618-465-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 LANDMARKS BLVD",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026321",
            "telephone_number": "618-463-0649",
            "fax_number": "618-465-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIROUX",
        "first_name": "JOHN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036074739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-074739",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alton, IL

Sources for this page

Verify at the official NPI Registry.