Westbury Pediatrics LTD.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

105226 Issued in MO

Legal business name

WESTBURY PEDIATRICS LTD.

Practice address

2954 Highway K
O Fallon, MO 63368-7861

Phone

(636) 978-1772

Fax

(636) 978-2589

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Joyce Keefe

Title

Practice Manager

Phone

(636) 978-1772

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nuzhat Nisar, M.D.

  • Pediatrics Physician
  • O Fallon, MO
  • NPI 1790730554
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962619502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-978-1772",
            "fax_number": "636-978-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 HIGHWAY K",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687861",
            "telephone_number": "636-978-1772",
            "fax_number": "636-978-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBURY PEDIATRICS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEFE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "636-978-1772",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MO",
            "license": "105226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Martin Weisel, MD
• Lauren M Wells
• Rachel Leigh Wells, FNP
• Brady Wesch, DC
• Madison M West
• Westplex Home Care (Visiting Angels)
• Westplex Home Care Enterprises, LLC (Visiting Angels)
• Kelly M Wever, MSW, LCSW
• Heather Michelle Wheeler, L.AC.
• Marcy Turnbull Whiston III, LPC, NCC

• Pediatric Adolescent Medicine Physician in O Fallon, MO
• Providers in O Fallon, MO by specialty
• Pediatric Adolescent Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.