Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083241863 Individual Practitioner Male Practitioner

Dr. Nathaniel Joseph Conner , MD

Pediatrics • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Nathaniel Conner, MD is a registered healthcare professional specializing in Pediatrics in Saint Louis, MO. Practice services are available at 1465 S GRAND BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1465 S Grand Blvd

Saint Louis, MO 631041003

Telephone 3142684070
Fax 3142684019
Associated Practice Facility / Clinic
🏢 St Louis University Facility NPI 1982676474

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.3 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
461 Specialists

Practicing in Saint Louis, MO (1616 Statewide)

Telehealth Adoption Rate
0.7% 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

CMS Verified: 2024-04-01
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 2020017189

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.

Pediatrics - Pediatric Cardiology

NUCC Taxonomy Code: 2080P0202X

State License IL 036.169-21

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

4440 W 95th St

Oak Lawn, IL 604532600

Phone: 7086845580

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Ethan Pfeifer , MD

Student in an Organized Health Care Education/Training Program

NPI 1013594472

Doctor of Medicine (M.D.)

Dr. Ryan Wong , MD

Student in an Organized Health Care Education/Training Program

NPI 1023699931

Doctor of Medicine (M.D.)

NPI 1043500507

Doctor of Philosophy (Ph.D.)

Emily Donnewald , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1073205217

CPNPPC

NPI 1093456774

Doctor of Medicine (M.D.)

Dr. Dominic Bisesi , DO

Emergency Medicine

NPI 1114505005

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2024

Pediatrics (License #036.169-21 in IL)

NPI Profile Active March 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2020

Registered at 1465 S GRAND BLVD, SAINT LOUIS, MO 631041003 (Tel: 3142684070)

📍
Updated Business Mailing Address March 24, 2020

Registered at 1465 S GRAND BLVD, SAINT LOUIS, MO 631041003 (Tel: 3142684070)

👤
Provider Name / Credentials Updated March 24, 2020

Recorded as NATHANIEL CONNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 24, 2020

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: 1083241863
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2020
Last Update: April 01, 2024
Sole Proprietor: Yes

Mailing Address

1465 S Grand Blvd

Saint Louis, MO 631041003

Phone: 3142684070

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.