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AFFTON MEDICAL CLINIC
NPI 1114048154
Pediatrics - Adolescent Medicine in Saint Louis, MO

Active since April 03, 2007
59 GRASSO PLZ, SAINT LOUIS, MO 63123(314) 638-9309(314) 638-9333 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Affton Medical Clinic NPPES

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

AFFTON MEDICAL CLINIC (NPI 1114048154) is a healthcare organization registered as an adolescent medicine in Saint Louis, Missouri and active in the NPI registry since April 2007. The organization lists Rubilinda Gimena Casino, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1114048154
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameAFFTON MEDICAL CLINIC
Location Address59 GRASSO PLZSaint Louis, MO 63123-3107
Mailing Address59 Grasso PlzSaint Louis, MO 63123-3107 · (314) 638-9309 · Fax (314) 638-9333
Phone(314) 638-9309
Fax(314) 638-9333
Organization SubpartNo
Authorized OfficialRubilinda Gimena CasinoMedical Director · (314) 638-9309
Enumeration DateApril 3, 2007
Last NPPES UpdateJune 16, 2008
✔ NPI 1114048154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MO · R5P40
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
59 GRASSO PLZ, Saint Louis, MO 63123
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Other Identifiers 2

Medicaid205357908MO
Medicare UPINH85070MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Affton Medical Clinic's NPI number?

The NPI number for Affton Medical Clinic is 1114048154. It was assigned to this organization in the NPPES registry on April 3, 2007.

Where is Affton Medical Clinic located?

Affton Medical Clinic is located at 59 Grasso Plz, Saint Louis, MO 63123. The listed phone number is (314) 638-9309.

What is Affton Medical Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Affton Medical Clinic was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.