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Deactivated NPI 1780602235 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Justin Noetzel , 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. Michael Noetzel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 17, 2006
NPI Deactivation Date April 12, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Noetzel, MD was a registered Pediatrics practicing in Saint Louis, MO. Throughout an active medical career spanning 16 years, Dr. Noetzel provided care at the practice location at 1 CHILDRENS PL until profile deactivation on 2022-04-12.

Practice Location & Contact Primary Location

Practice Address

1 Childrens Pl

Saint Louis, MO 631101002

Telephone 3144546120
Fax 3144542523
Associated Practice Facility / Clinic
🏢 Washington University Facility NPI 1194765685

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 R3A77

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
Dr. Hannah Edelman , MD, PhD

Psychiatry & Neurology - Neurology

NPI 1003230459

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Marissa Perez-Magnelli , PNP

Nurse Practitioner - Pediatrics

NPI 1003647470

Pediatric Nurse Practitioner

Dr. Alyssa Smith , MD

Psychiatry & Neurology - Neurology

NPI 1013322361

Doctor of Medicine (M.D.)

Dr. Regina Triplett , MD

Psychiatry & Neurology - Epilepsy

NPI 1023499001

Doctor of Medicine (M.D.)

Dr. Afaf Ahmed , MD

Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology

NPI 1023620788

Doctor of Medicine (M.D.)

Dr. Katherin Portwood , MD

Psychiatry & Neurology - Neurology

NPI 1033672951

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
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NPI Profile Deactivated April 12, 2022

Record deactivated on April 12, 2022

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Updated Practice Location November 15, 2021

Registered at 1 CHILDRENS PL, DIV NEUROLOGY PEDIATRICS, SAINT LOUIS, MO 631101002 (Tel: 3143621408)

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Updated Business Mailing Address November 15, 2021

Registered at 660 S EUCLID AVE, CB 8111, SAINT LOUIS, MO 631101010 (Tel: 3143621408)

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

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Updated Practice Location January 24, 2018

Registered at 1 CHILDRENS PL, SAINT LOUIS, MO 631101002 (Tel: 3144546120)

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Updated Business Mailing Address January 24, 2018

Registered at 660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 631101010 (Tel: 3144546120)

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Provider Name / Credentials Updated January 24, 2018

Recorded as MICHAEL NOETZEL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Pediatrics (License #R3A77 in MO)

NPI Profile Active November 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2016

Registered at 1 CHILDRENS PL, SAINT LOUIS, MO 631101002 (Tel: 3144546120)

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Updated Business Mailing Address November 14, 2016

Registered at 660 S EUCLID AVE, C B 8111, SAINT LOUIS, MO 631101010 (Tel: 3144546120)

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Provider Name / Credentials Updated November 14, 2016

Recorded as MICHAEL NOETZEL, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2016

Pediatrics (License #R3A77 in MO)

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Initial NPI Registration & Enumeration July 17, 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: 1780602235
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: November 14, 2016
Deactivation Date: April 12, 2022

Mailing Address

660 S Euclid Ave, C B 8111

Saint Louis, MO 631101010

Phone: 3144546120

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.