Boonslick Pediatrics in Saint Peters - Preferred Provider Organization
Boonslick Pediatrics - NPI 1962675744
Boonslick Pediatrics is a Preferred Provider Organization in Saint Peters, Missouri. Boonslick Pediatrics practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Boonslick Pediatrics is 1962675744. The last update date is 2008-04-11.
Boonslick Pediatrics's current location address is 5600 Mexico Rd Ste 21, Saint Peters, Missouri. You can contact this provider via phone number 6364414144 and fax number 6364414112. The mailing address for Boonslick Pediatrics is 5600 Mexico Rd Ste 21, Saint Peters, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Boonslick Pediatrics |
|---|---|
| Address | 5600 Mexico Rd Ste 21, Saint Peters, Missouri |
| Phone Number | 6364414144 |
| Fax Number | 6364414112 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD |
|---|---|
| Authorized Official Name | Lobonc J Robert |
| Telephone Number | 6364414144 |
NPI Number Detail
| NPI Number | 1962675744 |
|---|---|
| Provider Enumeration Date | 2008-04-11 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 5600 Mexico Rd Ste 21 |
|---|---|
| City | Saint Peters |
| State | Missouri (MO) |
| Post Code | 633761660 |
| Phone Number | 6364414144 |
| Fax Number | 6364414112 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | R7C25 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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What is the unique 10-digit identification code issued to Boonslick Pediatrics by the Centers for Medicare & Medicaid Services?
The Boonslick Pediatrics has been assigned the NPI (National Provider Identifier) 1962675744 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Boonslick Pediatrics is located?
The Boonslick Pediatrics is situated at the following address: 5600 Mexico Rd Ste 21, Saint Peters, MO, 633761660.
What is Boonslick Pediatrics's area of expertise and its corresponding taxonomy classification?
The Boonslick Pediatrics's field of specialization is Preferred Provider Organization, and it falls under the taxonomy code 305R00000X, which categorizes healthcare providers based on their areas of practice.
When did the Boonslick Pediatrics receive its 1962675744?
The Boonslick Pediatrics was issued its 1962675744 on 2008-04-11, which is the date when the organization was assigned this unique identifier.
When was the Boonslick Pediatrics's information last updated?
The Boonslick Pediatrics's information was last updated on 2008-04-11.