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Enrique Pastrana, M.D.
NPI 1417940412 · Surgery Physician · Fenton, MO
Enrique Pastrana, M.D. is a Surgery Physician provider in Fenton, MO (NPI 1417940412).
Provider details
- NPI number
- 1417940412
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- R1P02 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1011 Bowles Ave.
Suite 300
Fenton, MO 63026-2387
Phone: (636) 496-5030
Fax: (636) 496-5035
Street-level locationGet directions
Mailing address
1011 Bowles Ave.
Fenton, MO 63122-2387
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2012-06-08
Frequently asked questions
- What is Enrique Pastrana's NPI number?
- Enrique Pastrana's National Provider Identifier (NPI) is 1417940412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Enrique Pastrana's specialty?
- Enrique Pastrana is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Enrique Pastrana located?
- Enrique Pastrana's practice location on file with NPPES is 1011 Bowles Ave., Fenton, MO 63026-2387.
- What is Enrique Pastrana's phone number?
- The practice phone number listed in the NPPES registry for Enrique Pastrana is (636) 496-5030.
- Is Enrique Pastrana's NPI active?
- Yes — Enrique Pastrana's NPI (1417940412) is active in the NPPES registry as of the last update on 2012-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.