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Connie Anderson

Pediatrician Neonatal-Perinatal Doctor

1465 S Grand Blvd
Saint Louis , Missouri 63104-1003

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Connie Anderson

Pediatrician Neonatal-Perinatal Doctor

1465 S Grand Blvd
Saint Louis , Missouri 63104-1003

(314) 268-6410

Write a Review Save Call

Connie Anderson

Pediatrician Neonatal-Perinatal Doctor

1465 S Grand Blvd
Saint Louis , Missouri 63104-1003

(314) 268-6410 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatrician
  • Neonatal-Perinatal Doctor

Languages spoken

  • English

Location

1465 S Grand Blvd Saint Louis , Missouri 63104-1003

First Address

  • Connie Anderson
  • 1465 S Grand Blvd
  • Saint Louis, MO
  • Zip : 63104-1003
  • Fax : (314) 268-6410
  • Phone : (314) 577-5642

Second Address

  • Connie Anderson
  • 1465 S Grand Blvd
  • Saint Louis, MO
  • Zip : 63104-1003
  • Fax : (314) 268-6410
  • Phone : (314) 577-5663

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FAQs


Where did Connie Anderson attend graduate school?

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Where did Connie Anderson do her residency?

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Where did Connie Anderson do her fellowship?

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Is Connie Anderson board certified?

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What type of doctor is Connie Anderson

Neonatal-Perinatal Doctor

In what state does Connie Anderson practice in?

Missouri

Where is Connie Anderson ’s practice located?

1465 S Grand Blvd , Saint Louis, Missouri, 63104-1003

What is Connie Anderson ’s gender?

Female

Is Connie Anderson a sole practitioner?

No

Is Connie Anderson accepting new patients?

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What languages does Connie Anderson speak?

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Does Connie Anderson accept insurance?

Yes, Connie Anderson accepts insurance

Does Connie Anderson offers telemedicine?

Connie Anderson has not indicated if she offers telemedicine

What is Connie Anderson ’s professional license number?

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What is Connie Anderson ’s NPI number?

1073619334

Does Connie Anderson have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208000000X Pediatrician 110467 MO
Y 2080N0001X Neonatal-Perinatal Doctor 110467 MO

National Provider Identifier

NPI 1073619334
Provider Name Connie Anderson
First Address Saint Louis, MO 63104-1003
Second Address Saint Louis, MO 63104-1003
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 15/09/2006
Last Update Date 19/01/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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