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GABRIELS PRIDE PEDIATRICS
NPI 1124285028
Pediatrics in Ofallon, IL

Active since May 19, 2008
1337 PARK PLAZA DRIVE, SUITE 1, OFALLON, IL 62269(618) 624-7391(618) 624-7392 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gabriels Pride Pediatrics NPPES

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

GABRIELS PRIDE PEDIATRICS (NPI 1124285028) is a healthcare organization registered as a pediatrics in Ofallon, Illinois and active in the NPI registry since May 2008. The organization lists Thomas Edmund Levvaulh, Md President Owner, as its authorized official.

NPPES Registry Identity

NPI1124285028
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGABRIELS PRIDE PEDIATRICS
Location Address1337 PARK PLAZA DRIVE, SUITE 1Ofallon, IL 62269-1777
Mailing Address1337 Park Plaza Drive, Suite 1Ofallon, IL 62269-1777 · (618) 624-7391 · Fax (618) 624-7392
Phone(618) 624-7391
Fax(618) 624-7392
Organization SubpartNo
Authorized OfficialThomas Edmund LevvaulhMd President Owner · (618) 624-7391
Enumeration DateMay 19, 2008
✔ NPI 1124285028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036095488
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1337 PARK PLAZA DRIVE, Ofallon, IL 62269
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Other Identifiers 2

Medicare UPINH10480
Medicaid036095488IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Gabriels Pride Pediatrics's NPI number?

The NPI number for Gabriels Pride Pediatrics is 1124285028. It was assigned to this organization in the NPPES registry on May 19, 2008.

Where is Gabriels Pride Pediatrics located?

Gabriels Pride Pediatrics is located at 1337 Park Plaza Drive Suite 1, Ofallon, IL 62269. The listed phone number is (618) 624-7391.

What is Gabriels Pride Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Gabriels Pride Pediatrics was last updated on May 19, 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.