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DR. LISA S. ETZWILER M.D.
NPI 1740398593
Emergency Medicine - Pediatric Emergency Medicine in Creve Coeur, MO

Active since August 29, 2006
621 S NEW BALLAS RD, ST. JOHN'S MERCY MEDICAL CENTER, SUITE 6006, TOWER B, CREVE COEUR, MO 63141(314) 251-6299(314) 251-4450 Get Directions Write a Review

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

About Dr. Lisa S. Etzwiler M.d. NPPES

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

DR. LISA S. ETZWILER M.D. (NPI 1740398593) is an individual pediatric emergency medicine provider in Creve Coeur, Missouri, licensed in Missouri (102051) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1740398593
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameDR. LISA S. ETZWILERCredential: M.D.
Location Address621 S NEW BALLAS RD, ST. JOHN'S MERCY MEDICAL CENTER, SUITE 6006, TOWER BCreve Coeur, MO 63141-8232
Mailing Address16522 Baxter Forest Ridge DrChesterfield, MO 63005-4661 · (636) 519-1655 · Fax (636) 536-4973
Phone(314) 251-6299
Fax(314) 251-4450
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740398593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in MO · 102051
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
621 S NEW BALLAS RD, Creve Coeur, MO 63141
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Other Identifiers 1

Medicare UPINEO1258MO

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.

STEPHANIE LYNN SHOREY WHNP-BC
Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
St. Louis County (314) 991-5000
DR. KATHRYN BOTNEY M.D.
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5016
HUILIN LI M.D.
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
LUIS A GIUFFRA LLC
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-7720
JOSEPH G HERRMANN MD LLC
Specialist
621 S NEW BALLAS RD, SUITE 419A
SAINT LOUIS, MO 63141
St. Louis County (314) 432-0056
KAREN KILO RN, CDE, RD
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-4330
KATINA M CANDEE PA-C
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-2095
DR. PETER KONG-WOO YOON M.D.
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6364

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 Lisa Etzwiler's NPI number?

The NPI number for Lisa Etzwiler is 1740398593. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Lisa Etzwiler located?

Lisa Etzwiler practices at 621 S New Ballas Rd St. John's Mercy Medical Center, Suite 6006, Tower B, Creve Coeur, MO 63141. The listed phone number is (314) 251-6299.

What is Lisa Etzwiler's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

When was this NPI record last updated?

The NPPES record for Lisa Etzwiler 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.