Individual
DR. STEPHEN J PIEPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63141-6835
(314) 991-6969
(314) 997-6969
Mailing address
450 N NEW BALLAS RD, STE 270 W, SAINT LOUIS, MO 63141-6835
(314) 991-6969
(314) 997-6969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-093138
IL
207RC0000X
Cardiovascular Disease Physician
34928
MN
207RC0000X
Cardiovascular Disease Physician
R5N46
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
138830
MN
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
R5N46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000047049
MCARE CCL GROUP NUMBER
MO
01
—
004012762
MEDICARE PROVIDER ID
MO
01
—
005013185
MEDICARE PROV ID AREA 99
MO
05
—
1144214297
—
MO
01
—
990002433
RR MEDICARE NUMBER
MO
01
—
CD6536
RR GROUP 01
MO
01
—
CI7050
RR GROUP 99
MO
Enumeration date
09/06/2005
Last updated
01/19/2016
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