SLUCARE DEPT OF PEDIATRIC SPORT MEDICINE
NPI 1336368034
Pediatrics - Sports Medicine in Saint Louis, MO

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

The NPI number for St Louis University is 1336368034. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Slucare Dept Of Pediatric Sport Medicine.

Q: What is St Louis University's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Active since April 24, 2007

1465 S GRAND BLVD, SAINT LOUIS, MO 63104(314) 577-5643 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 21, 2021, Jun 21, 2019 (2 updates tracked since 2019).

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About Slucare Dept Of Pediatric Sport Medicine NPPES

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

SLUCARE DEPT OF PEDIATRIC SPORT MEDICINE (NPI 1336368034) is a healthcare organization registered as a sports medicine in Saint Louis, Missouri and active in the NPI registry since April 2007. The organization lists Alyce Lanxon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336368034

Entity TypeOrganization

Primary Taxonomy2080S0010X

Legal Business NameST LOUIS UNIVERSITY

Location Address1465 S GRAND BLVDSaint Louis, MO 63104-1003

Mailing Address3545 Lindell Blvd Fl 3Saint Louis, MO 63103-1020 · (314) 977-6828

Phone(314) 577-5643

Organization SubpartNo

Authorized OfficialAlyce LanxonExecutive Director · (314) 977-6828

Enumeration DateApril 24, 2007

Last NPPES UpdateSeptember 21, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1336368034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080S0010X

Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1465 S GRAND BLVD, Saint Louis, MO 63104

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Other Names 1

Doing Business AsSlucare Dept Of Pediatric Sport Medicine

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.

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 St Louis University's NPI number?

The NPI number for St Louis University is 1336368034. It was assigned to this organization in the NPPES registry on April 24, 2007. The provider is doing business as Slucare Dept Of Pediatric Sport Medicine.

Where is St Louis University located?

St Louis University is located at 1465 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (314) 577-5643.

What is St Louis University's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

What insurance does St Louis University accept?

Health plans from Anthem Blue Cross and Blue Shield list St Louis University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St Louis University was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.