NPIMap

Organization Active NPI

St Louis Pediatric Associates, Inc

  • Pediatrics Physician
  • Chesterfield, MO
National Provider Identifier
1881722700
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST LOUIS PEDIATRIC ASSOCIATES, INC
Practice address
226 S Woods Mill Rd
Ste 32W
Chesterfield, MO 63017-3662
Phone
(314) 576-1616
Fax
(314) 576-5271
NPI assigned
Mar 1, 2007
Last updated
Apr 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Todd Anthony, MBA
Title
Administrator
Phone
(314) 576-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

226 S Woods Mill Rd
Ste 32W
Chesterfield, MO 63017-3662

Mailing address

226 S Woods Mill Rd
Ste 32W
Chesterfield, MO 63017-3662
Phone (314) 576-1616

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0683074St Louis Pediatric Associates226 S Woods Mill Rd Suite 32W, Chesterfield, MO 63017Certificate of waiverDec 7, 2026

National Provider Directory

National Provider Directory

Locations

226 S Woods Mill Rd
Ste 32W
Chesterfield, MO 63017
Phone (314) 576-1616

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1881722700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 32W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-576-1616",
            "fax_number": "314-576-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 32W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173662",
            "telephone_number": "314-576-1616",
            "fax_number": "314-576-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LOUIS PEDIATRIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-576-1616",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.