SLUCARE DEPT OF PEDIATRIC SPORT MEDICINE - NPI 1336368034

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080S0010X and a focus in Sports Medicine.

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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.

ADRIENNE G TILBOR DO

Physical Medicine & Rehabilitation