NPIMap

Organization Active NPI

Saint Louis University Dba Mark Herbers, M.D.

Doing business as Mark F. Herbers, M.D.

  • Pediatrics Physician
  • Fenton, MO
National Provider Identifier
1629295712
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36171 Issued in MO
Legal business name
SAINT LOUIS UNIVERSITY DBA MARK HERBERS, M.D.
Doing business as
Mark F. Herbers, M.D.
Practice address
1747 Smizer Station Rd
Suite 6
Fenton, MO 63026-2784
Phone
(636) 225-7908
Fax
(636) 225-7497
NPI assigned
Apr 19, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Mrs. Deborah B. Reichardt
Title
Office Manager
Phone
(636) 225-7908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36171 MO Primary

Addresses

Primary practice location

1747 Smizer Station Rd
Suite 6
Fenton, MO 63026-2784

Mailing address

1747 Smizer Station Rd
Suite 6
Fenton, MO 63026-2784
Phone (636) 225-7908

Other names 1

  • Mark F. Herbers, M.D. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Saint Louis University Hospital16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1629295712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "address_2": "SUITE 6",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-225-7908",
            "fax_number": "636-225-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD",
            "address_2": "SUITE 6",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-225-7908",
            "fax_number": "636-225-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LOUIS UNIVERSITY DBA MARK HERBERS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "REICHARDT",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "636-225-7908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "36171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark F. Herbers, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.