Healthcare Provider Details

I. General information

NPI: 1083142418
Provider Name (Legal Business Name): AARON M. SCHUH MD, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2017
Last Update Date: 10/31/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5114 MIDAMERICA LN
ST. LOUIS MO
63129
US

IV. Provider business mailing address

660 S EUCLID AVE # 8116-438
SAINT LOUIS MO
63110-1010
US

V. Phone/Fax

Practice location:
  • Phone: 314-454-2468
  • Fax:
Mailing address:
  • Phone: 314-454-2468
  • Fax: 314-454-2524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number2024033538
License Number StateMO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: