DR. ETHAN EMIL PFEIFER MD
NPI 1013594472
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 24, 2021
1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 268-4070(314) 268-4019 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Emil Pfeifer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN EMIL PFEIFER MD (NPI 1013594472) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1013594472
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ETHAN EMIL PFEIFERCredential: MD
Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (314) 268-4070 · Fax (314) 268-4019
Fax(314) 268-4019
Sole ProprietorYes
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1013594472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1465 S GRAND BLVD, Saint Louis, MO 63104

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
ST. LOUIS, MO 63104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Pfeifer's NPI number?

The NPI number for Ethan Pfeifer is 1013594472. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Ethan Pfeifer located?

Ethan Pfeifer practices at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 268-4070.

What is Ethan Pfeifer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Pfeifer was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.