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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PATRICIA T JIMENEZ, MD
4444 FOREST PARK AVE
STE 3100
SAINT LOUIS, MO63108-2212
 Phone: 314-286-2400
 Fax: 314-286-2455
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PATRICIA T JIMENEZ · (Female)

NPI # 1003019217
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2007
Last updated 08/14/2019 - About 2 weeks ago
Sole proprietor 1 No
Identifiers
  • MO License # 2017009639
  • IL Medicaid ENROLLED
  • MO Medicaid 200043790
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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