Provider Demographics
NPI:1952451999
Name:OREN, PHINEAS PHILLIP (MD)
Entity type:Individual
Prefix:DR
First Name:PHINEAS
Middle Name:PHILLIP
Last Name:OREN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:SUITE: 6009-B
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8232
Mailing Address - Country:US
Mailing Address - Phone:314-251-6299
Mailing Address - Fax:314-251-4450
Practice Address - Street 1:1021 HITT ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65212-0001
Practice Address - Country:US
Practice Address - Phone:573-882-2272
Practice Address - Fax:573-884-5179
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2025-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2008022582208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200605670AMedicaid
KY7100093110Medicaid