Healthcare Provider Details

I. General information

NPI: 1154702603
Provider Name (Legal Business Name): REBECCA ANN SORBER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 10/27/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BARNES JEWISH HOSPITAL PLZ DIV SURG VASCULAR
SAINT LOUIS MO
63110-1003
US

IV. Provider business mailing address

PO BOX 7412011
CHICAGO IL
60674-2011
US

V. Phone/Fax

Practice location:
  • Phone: 314-273-7373
  • Fax: 888-840-6225
Mailing address:
  • Phone: 314-273-7373
  • Fax: 888-840-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2025035647
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: