ROD EVAN PELLENBERG M.D. - NPI 1902126097 - Pediatrics in Maryland Heights, MO

Q: What is Rod Pellenberg's NPI number?

The NPI number for Rod Pellenberg is 1902126097. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Q: What is Rod Pellenberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Rod Pellenberg was last updated on July 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Rod Evan Pellenberg M.d. NPPES

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

ROD EVAN PELLENBERG M.D. (NPI 1902126097) is an individual pediatric cardiology provider in Maryland Heights, Missouri, licensed in Missouri (2017013705) and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1902126097

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameROD EVAN PELLENBERGCredential: M.D.

Location Address11365 DORSETT RD.Maryland Heights, MO 63043

Mailing Address11365 Dorsett RoadMaryland Heights, MO 63043 · (314) 872-6400

Phone(314) 872-6400

Sole ProprietorNo

Enumeration DateJune 11, 2010

Last NPPES UpdateJuly 24, 2018

✔ NPI 1902126097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in MO · 2017013705

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

11365 DORSETT RD., Maryland Heights, MO 63043

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