Healthcare Provider Details

I. General information

NPI: 1881798098
Provider Name (Legal Business Name): BARBARA ANN MERTINS CHIODINI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BARBARA ANN CHIODINI MD

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10010 KENNERLY RD EMERGENCY DEPT
SAINT LOUIS MO
63128
US

IV. Provider business mailing address

2332 GREYSTONE DR
FESTUS MO
63028
US

V. Phone/Fax

Practice location:
  • Phone: 314-525-1000
  • Fax: 314-525-4868
Mailing address:
  • Phone: 636-931-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PP0204X
TaxonomyPediatric Emergency Medicine (Emergency Medicine) Physician
License Number105129
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: