1. Home
  2. Directory
  3. Missouri
  4. St Louis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MR. JUAN ULRIC AMBROSE M.D
NPI 1124968391
Student in an Organized Health Care Education/Training Program in St. Louis, MO

Active since March 30, 2026
1465 S GRAND BLVD, ST. LOUIS, MO 63104(314) 577-5382(314) 577-5616 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Juan Ulric Ambrose M.d NPPES

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

MR. JUAN ULRIC AMBROSE M.D (NPI 1124968391) is an individual student in an organized health care education/training program in St. Louis, Missouri and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1124968391
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JUAN ULRIC AMBROSECredential: M.D
Location Address1465 S GRAND BLVDSt. Louis, MO 63104
Mailing Address1465 S Grand BlvdSt. Louis, MO 63104 · (314) 577-5382 · Fax (314) 577-5616
Phone(314) 577-5382
Fax(314) 577-5616
Sole ProprietorNo
Enumeration DateMarch 30, 2026
✔ NPI 1124968391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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, St. Louis, MO 63104
Open in Google Maps ↗

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.

DR. SARAH MARGARET HANLY PH.D.
Psychologist (Clinical)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5667
KAVIPRIYA KOMESWARAN
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2000
ALEXIS HAAS STEWART
Anesthesiologist Assistant
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 977-5700
NATALIE DRURY RD, LD
Dietitian, Registered (Nutrition, Pediatric)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5387
TIMOTHY J KUTZ MD
Pediatrics (Child Abuse Pediatrics)
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-6406
CHRISTOPHER SALLEE MD
Pediatrics
1465 S GRAND BLVD
ST. LOUIS, MO 63104
St. Louis City (314) 577-1607
AMBER GRANA DO
Pediatrics (Pediatric Critical Care Medicine)
1465 S GRAND BLVD, DIVISION OF PEDIATRIC CRITICAL CARE
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5695
DR. ETHAN EMIL PFEIFER MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070

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 Juan Ambrose's NPI number?

The NPI number for Juan Ambrose is 1124968391. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Juan Ambrose located?

Juan Ambrose practices at 1465 S Grand Blvd, St. Louis, MO 63104. The listed phone number is (314) 577-5382.

What is Juan Ambrose'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 Juan Ambrose was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.