Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1922191584 Individual Practitioner Male Practitioner

Dr. Theodore G. Sample , MD

Pediatrics • St. Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Sample, MD is a registered healthcare professional specializing in Pediatrics in St. Louis, MO. Practice services are available at 621 S. NEW BALLAS ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

621 S. New Ballas Road
Suite 6009-B

St. Louis, MO 63141

Telephone 3142516598
Fax 3142517990
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in St. Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
69 Specialists

Practicing in St. Louis, 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 MO 112824

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
209750702 (MO)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Alison Thomasson , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1245644822

Doctor of Medicine (M.D.)

Dr. Paula Casey , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1629107958

Doctor of Medicine (M.D.)

Dr. Hilel Frankenthal , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1669649042

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 July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 621 S. NEW BALLAS ROAD, SUITE 6009-B, ST. LOUIS, MO 63141 (Tel: 3142516598)

📍
Updated Business Mailing Address July 08, 2007

Registered at 621 S. NEW BALLAS ROAD, SUITE 6009-B, ST. LOUIS, MO 63141 (Tel: 3142516598)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE SAMPLE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #112824 in MO)

🟢
Initial NPI Registration & Enumeration October 02, 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: 1922191584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

621 S. New Ballas Road, Suite 6009-B

St. Louis, MO 63141

Phone: 3142516598

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.