MEDICARE: FENTON PEDIATRICS, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1598808164
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FENTON PEDIATRICS, L.L.C.

Provider Business Mailing Address
First Line	:	714 GRAVOIS RD
Second Line	:	STE. 200
City	:	FENTON
State	:	MO
Zip	:	63026-7727
Country	:	US
Telephone Number	:	636-349-5437
Fax Number	:	636-349-6663

Provider Business Practice Location Address
First Line	:	714 GRAVOIS RD
Second Line	:	STE. 200
City	:	FENTON
State	:	MO
Zip	:	63026-7727
Country	:	US
Telephone Number	:	636-349-5437
Fax Number	:	636-349-6663

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. CATHY LYNN BROWN
Credential	:
Telephone Number	:	636-349-5437

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1104826098 — DR. JUSTIN E. HUGO M.D.
Practice Location Address:

714 GRAVOIS RD , SUITE 210
FENTON, MO
63026-7727

Practice Phone: 314-543-5230
Practice Fax: 314-543-5280

1962447599 — DR. MELISSA K STEIN DO
Practice Location Address:

714 GRAVOIS RD , STE 100
FENTON, MO
63026-7727

Practice Phone: 636-326-6100
Practice Fax:

1548284896 — DR. MELISSA D JOHNSON DO
Practice Location Address:

714 GRAVOIS RD , SUITE 210
FENTON, MO
63026-7727

Practice Phone: 636-660-9850
Practice Fax: 636-660-9851

1083728240 — MS. CAROLYN SUE LUNDGREN C.P.N.P.
Practice Location Address:

714 GRAVOIS RD , STE. 200
FENTON, MO
63026-7727

Practice Phone: 636-349-5437
Practice Fax: 636-349-6663

1679604797 — MERCY HOSPITAL SOUTH
Practice Location Address:

714 GRAVOIS RD
FENTON, MO
63026-7727

Practice Phone: 636-326-6100
Practice Fax:

1679939128 — FENTON FAMILY PHYSICIANS, LLC
Practice Location Address:

774 GRAVOIS BLUFFS BLVD STE B
FENTON, MO
63026-7758

Practice Phone: 636-685-7734
Practice Fax: 314-590-5922

Directions to “FENTON PEDIATRICS, L.L.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.