Healthcare Provider Details

I. General information

NPI: 1508540584
Provider Name (Legal Business Name): JAROD JOHN PAMATMAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JAROD PAMATMAT MD

II. Dates (important events)

Enumeration Date: 06/12/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S BRENTWOOD BLVD
SAINT LOUIS MO
63144-1320
US

IV. Provider business mailing address

660 S EUCLID AVE
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-1408
  • Fax:
Mailing address:
  • Phone: 314-362-1408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080S0012X
TaxonomyPediatric Sleep Medicine Physician
License Number2026033226
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: