Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036-093138 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 34928 | MN |
N | 207RC0000X | Internist - Cardiovascular Disease | R5N46 | MO |
N | 207RC0001X | Clinical Cardiac Electrophysiologist | 138830 | MN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | R5N46 | MO |
NPI | 1144214297 |
---|---|
Provider Name | Dr. Stephen J Pieper |
First Address | Saint Louis, MO 63141-6835 |
Second Address | Saint Louis, MO 63141-6835 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2005 |
Last Update Date | 19/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000047049 | MCARE CCL GROUP NUMBER (01) | MO |
004012762 | MEDICARE PROVIDER ID (01) | MO |
005013185 | MEDICARE PROV ID AREA 99 (01) | MO |
1144214297 | (05) | MO |
990002433 | RR MEDICARE NUMBER (01) | MO |
CD6536 | RR GROUP 01 (01) | MO |
CI7050 | RR GROUP 99 (01) | MO |
F45288 | (02) | MO |