Provider Demographics
NPI:1093767238
Name:LIMPERT, PATRICIA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ANN
Last Name:LIMPERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:232 S WOODS MILL RD
Mailing Address - Street 2:STE 200 EAST
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3417
Mailing Address - Country:US
Mailing Address - Phone:314-205-6491
Mailing Address - Fax:314-205-6492
Practice Address - Street 1:232 S WOODS MILL RD
Practice Address - Street 2:STE 200 EAST
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3417
Practice Address - Country:US
Practice Address - Phone:314-205-6491
Practice Address - Fax:314-205-6492
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO014293208600000X
NE25117208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200924306Medicaid
MOP00323155OtherRAILROAD MEDICARE
MO991373010Medicare PIN
MO956731104Medicare PIN
MO152555Medicare UPIN