Healthcare Provider Details

I. General information

NPI: 1215496187
Provider Name (Legal Business Name): JOSEPH BAIOCCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

660 S. EUCLID AVE MSC 8109-22-9905
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-8200
  • Fax: 314-454-5244
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number2024028835
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: