Theodore G. Sample in St. Louis - Pediatrics
Theodore G. Sample - NPI 1922191584
Theodore G. Sample is a Pediatrics in St. Louis, Missouri. Theodore G. Sample practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Theodore G. Sample is 1922191584. The last update date is 2007-07-08.
Theodore G. Sample's current location address is 621 S. New Ballas Road, St. Louis, Missouri. You can contact this provider via phone number 3142516598 and fax number 3142517990. The mailing address for Theodore G. Sample is 621 S. New Ballas Road, St. Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore G. Sample |
|---|---|
| Address | 621 S. New Ballas Road, St. Louis, Missouri |
| Phone Number | 3142516598 |
| Fax Number | 3142517990 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922191584 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 621 S. New Ballas Road |
|---|---|
| City | St. Louis |
| State | Missouri (MO) |
| Post Code | 63141 |
| Phone Number | 3142516598 |
| Fax Number | 3142517990 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 112824 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 209750702 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Theodore G. Sample by the Centers for Medicare & Medicaid Services (CMS)?
The Theodore G. Sample has been assigned the NPI (National Provider Identifier) 1922191584. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Theodore G. Sample?
The Theodore G. Sample is situated at 621 S. New Ballas Road, in the city of St. Louis, state of MO, with the zip code 63141.
What is Theodore G. Sample's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theodore G. Sample is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1922191584 to Theodore G. Sample?
The Centers for Medicare & Medicaid Services originally issued the 1922191584 to Theodore G. Sample on 2006-10-02.
As of what date were the details pertaining to Theodore G. Sample last refreshed?
The information related to the Theodore G. Sample, including its address, specialty, and other relevant details, was last updated on 2007-07-08.