Dr. Maryjo Hernandez-Zipfel, MD

Pediatrics, Adolescent Medicine in Saint Louis, MO. Individual provider (NPI-1).

NPI number1023036746

StatusActive

Last updated in NPPESMay 15, 2019

Details

NPI: 1023036746
Entity type: Individual (NPI-1)
Name: Dr. Maryjo Hernandez-Zipfel
Credential: MD
Sex: Female
Sole proprietor: No
Enumeration date: Jul 18, 2006
Last updated: May 15, 2019

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080A0000X	Pediatrics, Adolescent Medicine	2004009985	MO	Yes
2080N0001X	Pediatrics, Neonatal-Perinatal Medicine	2004009985	MO
2080P0204X	Pediatrics, Pediatric Emergency Medicine	2004009985	MO

Practice location

4055 Lindell Blvd
Saint Louis, MO 63108-3201

Phone 314-535-7701

Mailing address

4055 Lindell Blvd
Saint Louis, MO 63108-3201

Phone 314-535-7701

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Other Pediatric Adolescent Medicine Physician providers in Saint Louis, MO

All 15 Pediatric Adolescent Medicine Physician providers in Saint Louis · All 34,755 providers in Saint Louis

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