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POTHEN JACOB MD
NPI 1376640474
Pediatrics in E St Louis, IL

Active since September 20, 2006
4601 STATE ST, SUITE #210, E ST LOUIS, IL 62205(618) 874-3700(618) 874-5031 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pothen Jacob Md NPPES

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

POTHEN JACOB MD (NPI 1376640474) is an individual pediatrics provider in E St Louis, Illinois, licensed in Illinois (3648725) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1376640474
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePOTHEN JACOBCredential: MD
Location Address4601 STATE ST, SUITE #210E St Louis, IL 62205-1359
Mailing AddressPo Box 2228, 4601 State St Suite #210E St Louis, IL 62205-1359 · (618) 874-3700 · Fax (618) 874-5031
Phone(618) 874-3700
Fax(618) 874-5031
Sole ProprietorNo
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376640474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 3648725
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4601 STATE ST, E St Louis, IL 62205
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Other Identifiers 1

Medicare UPIND10042

Other Providers at the Same Location NPPES 8

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

ILLINOIS EXPRESS HOME CARE
In Home Supportive Care
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (314) 727-0453
DR. HOWARD FRANKLIN JACKSON DPM
Podiatrist (Foot Surgery)
4601 STATE ST, SUITE 310
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 875-7230
DR. MARSHALL KATZMAN M.D.
Psychiatry & Neurology (Psychiatry)
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 482-6420
COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 482-7330
COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 482-7330
FELICIA GABRIEL LARKIN
Technician
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 800-0708
COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Community/Behavioral Health
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 482-7330
COMPREHENSIVE MENTAL HEALTH CENTER OF ST. CLAIR COUNTY, INC.
Community/Behavioral Health
4601 STATE ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 482-7330

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 Pothen Jacob's NPI number?

The NPI number for Pothen Jacob is 1376640474. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Pothen Jacob located?

Pothen Jacob practices at 4601 State St Suite #210, E St Louis, IL 62205. The listed phone number is (618) 874-3700.

What is Pothen Jacob's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Pothen Jacob was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.