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BOONSLICK PEDIATRICS
NPI 1962675744
Preferred Provider Organization in Saint Peters, MO

Active since April 11, 2008
5600 MEXICO RD STE 21, SAINT PETERS, MO 63376(636) 441-4144(636) 441-4112 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boonslick Pediatrics NPPES

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

BOONSLICK PEDIATRICS (NPI 1962675744) is a healthcare organization registered as a preferred provider organization in Saint Peters, Missouri and active in the NPI registry since April 2008. The organization lists Robert J Lobonc, Md, as its authorized official.

NPPES Registry Identity

NPI1962675744
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameBOONSLICK PEDIATRICS
Location Address5600 MEXICO RD STE 21Saint Peters, MO 63376-1660
Mailing Address5600 Mexico Rd Ste 21Saint Peters, MO 63376-1660 · (636) 441-4144 · Fax (636) 441-4112
Phone(636) 441-4144
Fax(636) 441-4112
Organization SubpartNo
Authorized OfficialRobert J LoboncMd · (636) 441-4144
Enumeration DateApril 11, 2008
✔ NPI 1962675744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MO · R7C25
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
5600 MEXICO RD STE 21, Saint Peters, MO 63376
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Other Providers at the Same Location NPPES

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

DR. VENKATA KR BODAVULA MD
Surgery (Surgery of the Hand)
5600 MEXICO RD STE 21
SAINT PETERS, MO 63376
St. Charles County (636) 373-9882

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 Boonslick Pediatrics's NPI number?

The NPI number for Boonslick Pediatrics is 1962675744. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Boonslick Pediatrics located?

Boonslick Pediatrics is located at 5600 Mexico Rd Ste 21, Saint Peters, MO 63376. The listed phone number is (636) 441-4144.

What is Boonslick Pediatrics's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Boonslick Pediatrics was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.