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EDGEMONT PEDIATRICS, P.C
NPI 1689825838
Pediatrics in East Saint Louis, IL

Active since October 07, 2008
8710 STATE ST, EAST SAINT LOUIS, IL 62203(618) 398-6601(618) 398-4525 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgemont Pediatrics, P.c NPPES

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

EDGEMONT PEDIATRICS, P.C (NPI 1689825838) is a healthcare organization registered as a pediatrics in East Saint Louis, Illinois and active in the NPI registry since October 2008. The organization lists Justin O Ogbevoen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689825838
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEDGEMONT PEDIATRICS, P.C
Location Address8710 STATE STEast Saint Louis, IL 62203-2048
Mailing Address8710 State StEast Saint Louis, IL 62203-2048 · (618) 398-6601 · Fax (618) 398-4525
Phone(618) 398-6601
Fax(618) 398-4525
Organization SubpartNo
Authorized OfficialJustin O OgbevoenCeo · (618) 398-6601
Enumeration DateOctober 7, 2008
✔ NPI 1689825838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036085372
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.

8710 STATE ST, East Saint Louis, IL 62203
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Other Identifiers 2

Medicare UPING55046IL
Medicaid036085372IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Edgemont Pediatrics, P.C's NPI number?

The NPI number for Edgemont Pediatrics, P.C is 1689825838. It was assigned to this organization in the NPPES registry on October 7, 2008.

Where is Edgemont Pediatrics, P.C located?

Edgemont Pediatrics, P.C is located at 8710 State St, East Saint Louis, IL 62203. The listed phone number is (618) 398-6601.

What is Edgemont Pediatrics, P.C'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 Edgemont Pediatrics, P.C was last updated on October 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.