AFFTON MEDICAL CLINIC – NPI #1528251337
Pediatrics

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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

AFFTON MEDICAL CLINIC is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1528251337 to AFFTON MEDICAL CLINIC on August 24, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 14 years ago on Mar 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AFFTON MEDICAL CLINIC below.

NPI Profile for
AFFTON MEDICAL CLINIC

NPI Number
1528251337
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AFFTON MEDICAL CLINIC
Primary location
84 GRASSO PLAZA
SAINT LOUIS, MO 63123
Phone: (314) 638-9309 Fax: (314) 637-9333
Mailing address
PO BOX 4341
SAINT LOUIS, MO 63123-0141
Phone: (314) 638-9309 Fax: (314) 638-9333
Organization Subpart
No
Authorized Official
RUBILINDA CASINO
PRESIDENT
Phone: (314) 638-9309
Updated
Identifiers

Identifiers for AFFTON MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO50291440
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.