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DR. JOSEPH PRUSACZYK MD
NPI 1730295759
Pediatrics - Adolescent Medicine in Saint Louis, MO

Active since August 22, 2006
13035 OLIVE BLVD, SAINT LOUIS, MO 63141(314) 434-3114(314) 434-3117 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Joseph Prusaczyk Md NPPES

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

DR. JOSEPH PRUSACZYK MD (NPI 1730295759) is an individual adolescent medicine provider in Saint Louis, Missouri, licensed in Missouri (31728) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1730295759
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. JOSEPH PRUSACZYKCredential: MD
Location Address13035 OLIVE BLVDSaint Louis, MO 63141-6173
Mailing Address1623 Timberlake Manor PkwyChesterfield, MO 63017-5593 · (314) 434-3114 · Fax (314) 434-3117
Phone(314) 434-3114
Fax(314) 434-3117
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730295759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in MO · 31728
Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

13035 OLIVE BLVD, Saint Louis, MO 63141
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Other Identifiers 1

Medicare UPINA11414MO

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.

DR. PAUL HYLAND D.C.
Chiropractor
13035 OLIVE BLVD, SUITE 216
CREVE COEUR, MO 63141
St. Louis County (314) 542-2003
COMMITTED TO HEALTH CHIROPRACTIC CENTER, LLC
Chiropractor
13035 OLIVE BLVD, SUITE 216
CREVE COEUR, MO 63141
St. Louis County (314) 542-2003
DR. HAIKUN LI MD
Family Medicine
13035 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 434-3114
MEDICAL ACUTE CARE CENTER PC
Clinic/Center (Medical Specialty)
13035 OLIVE BLVD, SUITE 113-115
SAINT LOUIS, MO 63141
St. Louis County (314) 434-3114
DR. RAMONA GEORGETA BOSMA D.M.D.
Dentist
13035 OLIVE BLVD, SUITE 214
CREVE COEUR, MO 63141
St. Louis County (314) 205-0111
MITCHELL R STUMPF D.M.D.
Dentist
13035 OLIVE BLVD, SUITE #214
CREVE COEUR, MO 63141
St. Louis County (314) 205-0111
MEDICAL ACUTE CARE CENTER, P.C.
Non-Pharmacy Dispensing Site
13035 OLIVE BLVD, SUITE 115
CREVE COEUR, MO 63141
St. Louis County (314) 434-3114
MISS MEGAN K FLOARKE D.C
Chiropractor (Independent Medical Examiner)
13035 OLIVE BLVD, SUITE 216
CREVE COEUR, MO 63141
St. Louis County (314) 542-2003

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 Joseph Prusaczyk's NPI number?

The NPI number for Joseph Prusaczyk is 1730295759. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Joseph Prusaczyk located?

Joseph Prusaczyk practices at 13035 Olive Blvd, Saint Louis, MO 63141. The listed phone number is (314) 434-3114.

What is Joseph Prusaczyk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Joseph Prusaczyk was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.