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Deactivated NPI 1396741724 Deactivated / Inactive NPI Male Practitioner

Dr. Robert W. Edmonds , MD

Pediatrics • Saint Louis, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Edmonds has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 21, 2005
NPI Deactivation Date June 18, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Edmonds, MD was a registered Pediatrics practicing in Saint Louis, MO. Throughout an active medical career spanning 13 years, Dr. Edmonds provided care at the practice location at 1717 BIDDLE ST until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

1717 Biddle St

Saint Louis, MO 631063454

Telephone 3142412200
Fax 3148148542
Associated Practice Facility / Clinic
🏢 Affinia Healthcare Facility NPI 1093731945

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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO MD27409

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1013319219

Registered Pharmacist

Mary Peterson , LCSW

Social Worker - Clinical

NPI 1023263563

Licensed Clinical Social Worker

NPI 1033219712

Doctor of Dental Medicine

Maria Del Rosario Bobadilla , LSCW

Marriage & Family Therapist

NPI 1033355847
Dr. Clarence Bell , MD

Internal Medicine

NPI 1063418291

Doctor of Medicine (M.D.)

Dr. Vani Pachalla , MD

Family Medicine

NPI 1063418382

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 18, 2018

Record deactivated on June 18, 2018

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1717 BIDDLE ST, SAINT LOUIS, MO 631063454 (Tel: 3142412200)

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Updated Business Mailing Address July 09, 2007

Registered at 14256 COBBLE HILL CT, CHESTERFIELD, MO 630172978 (Tel: 3148148514)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT EDMONDS, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Pediatrics (License #MD27409 in MO)

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Initial NPI Registration & Enumeration June 21, 2005

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: 1396741724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2005
Last Update: July 09, 2007
Deactivation Date: June 18, 2018

Mailing Address

14256 Cobble Hill Ct

Chesterfield, MO 630172978

Phone: 3148148514

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.