SLUCARE DEPT OF PEDIATRIC UROLOGY – NPI #1184908865
Urology

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

SLUCARE DEPT OF PEDIATRIC UROLOGY is an urologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1184908865 to SLUCARE DEPT OF PEDIATRIC UROLOGY on September 29, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SLUCARE DEPT OF PEDIATRIC UROLOGY” is a dba name, the actual legal business name for this organization is ST LOUIS UNIVERSITY. The primary taxonomy selected by this provider is 2088P0231X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Pediatric Urology

The NPI profile was previously updated about 5 years ago on Sep 21, 2021. 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 SLUCARE DEPT OF PEDIATRIC UROLOGY below.

NPI Profile for
ST LOUIS UNIVERSITY

NPI Number
1184908865
Enumeration Date

(more than 14 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
ST LOUIS UNIVERSITY
Doing Business As (dba): SLUCARE DEPT OF PEDIATRIC UROLOGY
Primary location
1465 S GRAND BLVD
SAINT LOUIS, MO 63104-1003
Phone: (314) 268-4070 Fax:
Mailing address
3545 LINDELL BLVD FL 3
SAINT LOUIS, MO 63103-1020
Phone: (314) 977-6828 Fax:
Organization Subpart
No
Authorized Official
ALYCE LANXON
EXECUTIVE DIRECTOR
Phone: (314) 977-6828
Updated
Certification Date
Sep 21, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2088P0231X
- Urology / Pediatric Urology (Primary)

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.