SLUCARE DEPARTMENT OF PEDIATRIC SURGERY
NPI 1114990454
Surgery - Pediatric Surgery in Saint Louis, MO

Q: What is St Louis University's NPI number?

The NPI number for St Louis University is 1114990454. It was assigned to this organization in the NPPES registry on February 8, 2006. The provider is doing business as Slucare Department Of Pediatric Surgery.

Q: What is St Louis University's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Active since February 08, 2006

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 977-6828 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Slucare Department Of Pediatric Surgery NPPES

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

SLUCARE DEPARTMENT OF PEDIATRIC SURGERY (NPI 1114990454) is a healthcare organization registered as a pediatric surgery in Saint Louis, Missouri and active in the NPI registry since February 2006. The organization lists Alyce Lanxon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114990454

Entity TypeOrganization

Primary Taxonomy2086S0120X

Legal Business NameST LOUIS UNIVERSITY

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address1831 Chestnut St Ste 650Saint Louis, MO 63103-2236 · (314) 977-6828

Phone(314) 977-6828

Organization SubpartNo

Authorized OfficialAlyce LanxonExecutive Director · (314) 977-6828

Enumeration DateFebruary 8, 2006

Last NPPES UpdateJune 21, 2019

✔ NPI 1114990454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0120X

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

1465 S GRAND BLVD, Saint Louis, MO 63104

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Other Names 1

Doing Business AsSlucare Department Of Pediatric Surgery

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

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