Edward S Rader in Saint Louis - Urology

Edward S Rader - NPI 1760526065

Edward S Rader is a Urology in Saint Louis, Missouri. Edward S Rader practices all healthcare services and medical treatments related to Urology. The NPI Number for Edward S Rader is 1760526065. The last update date is 2007-07-08.

Edward S Rader's current location address is 615 S New Ballas Rd, Saint Louis, Missouri. You can contact this provider via phone number 3142516382 and fax number 3142514454. The mailing address for Edward S Rader is 615 S New Ballas Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward S Rader
Address 615 S New Ballas Rd, Saint Louis, Missouri
Phone Number 3142516382
Fax Number 3142514454
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1760526065
Provider Enumeration Date 2007-02-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 615 S New Ballas Rd
City Saint Louis
State Missouri (MO)
Post Code 631418221
Phone Number 3142516382
Fax Number 3142514454

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 26549
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A10711 MO MERCYCARE PLUS
2212 MO HEALTHCARE USA

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FAQs about Edward S Rader

What is the unique 10-digit identification code issued to Edward S Rader by the Centers for Medicare & Medicaid Services?

The Edward S Rader has been assigned the NPI (National Provider Identifier) 1760526065 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Edward S Rader is physically located?

The Edward S Rader is physically situated at the following address: 615 S New Ballas Rd, Saint Louis, MO, 631418221.

What is the Edward S Rader's specialty and taxonomy code?

The Edward S Rader's specialty is Urology, and the corresponding taxonomy code is 208800000X.

On what date did the Edward S Rader receive the assignment of its 1760526065 from the Centers for Medicare & Medicaid Services?

The Edward S Rader was issued its 1760526065 by the Centers for Medicare & Medicaid Services on 2007-02-19.

As of what date was the information pertaining to Edward S Rader, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Edward S Rader, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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