Jennifer S Ladage in Saint Louis - Pediatrics

Jennifer S Ladage - NPI 1477642106

Jennifer S Ladage is a Pediatrics in Saint Louis, Missouri. Jennifer S Ladage practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jennifer S Ladage is 1477642106. The last update date is 2021-01-11.

Jennifer S Ladage's current location address is 1465 S Grand Blvd, Saint Louis, Missouri. You can contact this provider via phone number 3142684070 and fax number 3142684021. The mailing address for Jennifer S Ladage is 1465 S Grand Blvd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer S Ladage
Address 1465 S Grand Blvd, Saint Louis, Missouri
Phone Number 3142684070
Fax Number 3142684021
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1477642106
Provider Enumeration Date 2006-10-12
Last Updated Date 2021-01-11

Provider Mailing Address Detail

Address 1465 S Grand Blvd
City Saint Louis
State Missouri (MO)
Post Code 631041003
Phone Number 3142684070
Fax Number 3142684021

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 105984
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
208164111 MO --

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FAQs about Jennifer S Ladage

What is the unique 10-digit identification code assigned to Jennifer S Ladage by the Centers for Medicare & Medicaid Services?

The Jennifer S Ladage has been issued the NPI (National Provider Identifier) 1477642106, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Jennifer S Ladage's physical address?

The Jennifer S Ladage is physically located at 1465 S Grand Blvd, in the city of Saint Louis, MO, with the postal code 631041003.

What is Jennifer S Ladage's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jennifer S Ladage is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Jennifer S Ladage receive its 1477642106 assignment from the Centers for Medicare & Medicaid Services?

The Jennifer S Ladage was assigned its 1477642106 by the Centers for Medicare & Medicaid Services on 2006-10-12.

When was the information related to Jennifer S Ladage most recently updated or refreshed?

The details pertaining to the Jennifer S Ladage, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-11.

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