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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

THEODORE MEADOUGH
NPI 1174427819
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since October 06, 2026
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6000 Get Directions Write a Review

NPPES record added: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Theodore Meadough NPPES

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

THEODORE MEADOUGH (NPI 1174427819) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1174427819
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTHEODORE MEADOUGH
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address515 Olive St Unit 1807Saint Louis, MO 63101-1812
Phone(314) 251-6000
Sole ProprietorNo
Enumeration DateOctober 6, 2026
NPPES CertifiedOctober 6, 2026
✔ NPI 1174427819 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.
615 S NEW BALLAS RD, Saint Louis, MO 63141
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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.

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
JOSE L OLIVER SEGARRA
Dentist
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6382
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305

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 Theodore Meadough's NPI number?

The NPI number for Theodore Meadough is 1174427819. It was assigned to this individual provider in the NPPES registry on October 6, 2026.

Where is Theodore Meadough located?

Theodore Meadough practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6000.

What is Theodore Meadough'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 Theodore Meadough was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.