EDEN PEDIATRICS LLC – NPI #1659477024
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.

EDEN PEDIATRICS LLC is a provider located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1659477024 to EDEN PEDIATRICS LLC on September 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 6 years ago on Aug 22, 2020. 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 EDEN PEDIATRICS LLC below.

NPI Profile for
EDEN PEDIATRICS LLC

NPI Number
1659477024
Enumeration Date

(more than 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
EDEN PEDIATRICS LLC
Primary location
763 S NEW BALLAS RD
SUITE 220
SAINT LOUIS, MO 63141-8704
Phone: (314) 983-0606 Fax: (314) 983-0608
Mailing address
763 S NEW BALLAS RD STE 220
SAINT LOUIS, MO 63141-8711
Phone: (314) 983-0606 Fax: (314) 983-0608
Organization Subpart
No
Authorized Official
ETIHAD AL-FALAHI
PRESIDENT
Phone: (314) 983-0606
Updated
Identifiers

Identifiers for EDEN PEDIATRICS LLC

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAMO5013620
OTHERBLUE CROSS BLUE SHIELDMO114721
OTHERGROUP HEALTH PLANMO214028
OTHERHEALTHLINKMO286120
OTHERMERCY HEALTH PLANMOG10654
OTHERUNITED HEALTHCAREMO1210150
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)
MO MD101423

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.