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JACKIE L GROSKLOS MD
NPI 1245223239
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since August 25, 2005
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63195(314) 991-6969(314) 997-6969 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackie L Grosklos Md NPPES

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

JACKIE L GROSKLOS MD (NPI 1245223239) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (R9H27) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1245223239
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameJACKIE L GROSKLOSCredential: MD
Location Address450 N NEW BALLAS RD, STE 270 WSaint Louis, MO 63195-2632
Mailing Address450 N New Ballas Rd, Ste 270 WSaint Louis, MO 63195-2632 · (314) 991-6969 · Fax (314) 997-6969
Phone(314) 991-6969
Fax(314) 997-6969
Sole ProprietorNo
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 19, 2016
✔ NPI 1245223239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · R9H27
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
450 N NEW BALLAS RD, Saint Louis, MO 63195
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINE86043MO
Other060049013MO · Rr Medicare Number
OtherCD6536MO · Rr Group 01
Other003012762MO · Medicare Provider Id
Other002013185MO · Medicare Prov Id Area 99

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CLARK R MCKENZIE MD
Internal Medicine (Interventional Cardiology)
450 N NEW BALLAS RD, STE 270 W
SAINT LOUIS, MO 63195
St. Louis City (314) 991-6969
PAUL A ROBIOLIO MD
Internal Medicine (Cardiovascular Disease)
450 N NEW BALLAS RD, STE 270 W
SAINT LOUIS, MO 63195
St. Louis City (314) 991-6969

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 Jackie Grosklos's NPI number?

The NPI number for Jackie Grosklos is 1245223239. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Jackie Grosklos located?

Jackie Grosklos practices at 450 N New Ballas Rd Ste 270 W, Saint Louis, MO 63195. The listed phone number is (314) 991-6969.

What is Jackie Grosklos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Jackie Grosklos was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.