Active NPI
Tots Thru Teens Pediatrics, Inc.
- Pediatrics Physician
- Bridgeton, MO
National Provider Identifier
1801060108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R6G08
- Legal business name
- TOTS THRU TEENS PEDIATRICS, INC.
- Practice address
- 12255 Depaul Dr.
Suite 490
Bridgeton, MO 63044 - Phone
- (314) 291-7766
- Fax
- (314) 291-7767
- NPI assigned
- Apr 17, 2008
- 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
- Dr. Isabel L Rosenbloom, M.D.
- Title
- President
- Phone
- (314) 291-7766
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R6G08 | MO | Primary |
| Pediatrics Physician | 208000000X | R7C02 | MO |
Addresses
Primary practice location
12255 Depaul Dr.
Suite 490
Bridgeton, MO 63044
Mailing address
12255 Depaul Dr.
Suite 490
Bridgeton, MO 63044
Phone (314) 291-7766
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329264000000",
"number": "1801060108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12255 DEPAUL DR.",
"address_2": "SUITE 490",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-291-7766",
"fax_number": "314-291-7767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DEPAUL DR.",
"address_2": "SUITE 490",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "63044",
"telephone_number": "314-291-7766",
"fax_number": "314-291-7767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOTS THRU TEENS PEDIATRICS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-17",
"last_updated": "2012-02-15",
"status": "A",
"authorized_official_last_name": "ROSENBLOOM",
"authorized_official_first_name": "ISABEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "314-291-7766",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "R6G08",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "R7C02",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- Mauria Shermane Tomlin
- Melody Marie Topolewski, LMT
- Alice Q Torregosa
- Total Access Urgent Care, PC (Total Access Urgent Care)
- Total Care & Weight Loss
- Brianna Marie Tovar
- Katherine Rosser Traylor, M.A., P.L.P.C.
- Courtney Trevino, RBT
- Natalie Danielle Trgovich, OTR/L
- Tri-County Group XV, Inc. (Elara Caring)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.