Rainbow Pediatrics Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

R3N75 Issued in MO

Legal business name

RAINBOW PEDIATRICS INC.

Practice address

1224 Graham Rd
Suite 3009
Florissant, MO 63031-8028

Phone

(314) 839-7500

Fax

(314) 839-8545

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anita Ruffino Stiffelman, MD

Title

President

Phone

(314) 839-7500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1578745170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "SUITE 3009",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-7500",
            "fax_number": "314-839-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD",
            "address_2": "SUITE 3009",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-7500",
            "fax_number": "314-839-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PEDIATRICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "STIFFELMAN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "RUFFINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-839-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R3N75",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500920905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.