Active NPI 1629134333 Individual Practitioner Male Practitioner

Dr. Stephen E. Thierauf , MD

Pediatrics • Fenton, MO

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Thierauf, MD is a registered healthcare professional specializing in Pediatrics in Fenton, MO. Practice services are available at 1203 SMIZER MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1203 Smizer Mill Rd
Ste 108

Fenton, MO 630263483

Telephone 6367171340

Fax 6367171344

Associated Practice Facility / Clinic

🏢 Mercy Health Services, Llc Facility NPI 1063831287

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fenton, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 14.0 Yrs

State Avg: 19.4 Yrs

Regional Practice Density

12 Specialists

Practicing in Fenton, MO (1616 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036109602

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

204935407 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Manasi Hulyalkar , MD

Pediatrics - Obesity Medicine

NPI 1467803098

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2008

Registered at 1203 SMIZER MILL RD, STE 108, FENTON, MO 630263483 (Tel: 6367171340)

📍

Updated Business Mailing Address March 03, 2008

Registered at 1203 SMIZER MILL RD, STE 108, FENTON, MO 630263483 (Tel: 6367171340)

👤

Provider Name / Credentials Updated March 03, 2008

Recorded as STEPHEN THIERAUF, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2008

Pediatrics (License #036109602 in IL)

🟢

Initial NPI Registration & Enumeration December 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629134333

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 28, 2006

Last Update: March 03, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1203 Smizer Mill Rd, Ste 108

Fenton, MO 630263483

Phone: 6367171340

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.