Eureka Pediatrics
Pediatrics Physician · Eureka, MO
Practice location
515 N Virginia AveEureka, MO 63025-1115
- Phone
- (636) 587-3000
- Fax
- (636) 587-2243
NPI record
- NPI
- 1578758470
- Entity type
- Organization (Type 2)
- Enumeration date
- September 13, 2007
- Last updated
- September 13, 2007
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
— | — |
Authorized official
- Name
- Mr. Ted Allen Green, M.D.
- Title
- Owner
- Phone
- (636) 587-3000
About Eureka Pediatrics
Eureka Pediatrics is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 515 N Virginia Ave, Eureka, MO 63025-1115. The NPI number 1578758470 was assigned on September 13, 2007 and the record was last updated on September 13, 2007.
The authorized official for this organization is Mr. Ted Allen Green, M.D., Owner.
Frequently asked questions
What is the NPI number of Eureka Pediatrics?
The NPI number is 1578758470.
What is the phone number of Eureka Pediatrics?
The phone number listed for the practice location is (636) 587-3000.
Where is Eureka Pediatrics located?
515 N Virginia Ave, Eureka, MO 63025-1115.
What is the taxonomy code for Eureka Pediatrics?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Eureka
- Amanda Groebl Judilla, M.D.515 N Virginia Ave
- Doug S. Nozaki, MD515 N Virginia Ave
- Ted Allen Green, M.D.515 N Virginia Ave