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MR. ENRIQUE PASTRANA M.D.
NPI 1417940412
Surgery in Fenton, MO

Active since August 24, 2005
1011 BOWLES AVE., SUITE 300, FENTON, MO 63026(636) 496-5030(636) 496-5035 Get Directions Write a Review

NPPES record last updated: June 8, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Enrique Pastrana M.d. NPPES

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

MR. ENRIQUE PASTRANA M.D. (NPI 1417940412) is an individual surgery provider in Fenton, Missouri, licensed in Missouri (R1P02) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1417940412
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. ENRIQUE PASTRANACredential: M.D.
Location Address1011 BOWLES AVE., SUITE 300Fenton, MO 63026-2387
Mailing Address1011 Bowles Ave., Suite 300Fenton, MO 63122-2387 · (636) 496-5030 · Fax (636) 496-5035
Phone(636) 496-5030
Fax(636) 496-5035
Sole ProprietorNo
Enumeration DateAugust 24, 2005
Last NPPES UpdateJune 8, 2012
✔ NPI 1417940412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MO · R1P02
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1011 BOWLES AVE., Fenton, MO 63026
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Other Identifiers 4

Medicare ID-Type Unspecified000003983MO · Medicare
Medicaid208176503MO
Medicare UPINE94111MO
Medicare PIN039830001MO

Other Providers at the Same Location NPPES

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

ENRIQUE PASTRANA, M.D., P.C
Surgery
1011 BOWLES AVE., SUITE 300
FENTON, MO 63026
St. Louis County (636) 496-5030

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 Enrique Pastrana's NPI number?

The NPI number for Enrique Pastrana is 1417940412. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Enrique Pastrana located?

Enrique Pastrana practices at 1011 Bowles Ave. Suite 300, Fenton, MO 63026. The listed phone number is (636) 496-5030.

What is Enrique Pastrana's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Enrique Pastrana was last updated on June 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.