IndividualActive
Fernando Medina Carbonell, M.D.
NPI 1467747659 · Pediatric Gastroenterology Physician · Saint Louis, MO
Provider details
- NPI number
- 1467747659
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 29938 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 268-4010
Fax: (314) 268-2775
Approximate (ZIP-level) locationGet directions
Mailing address
1465 S Grand Blvd, Dept of Pediatrics
Saint Louis, MO 63104-1003
Additional practice locations (3)
- 111 N 84th StOmaha, NE 68114-4101Phone: (402) 955-5700
- 982161 Nebraska Medical CtrOmaha, NE 68198Phone: (402) 559-2412
- 4502 Medical DrSan Antonio, TX 78229-4402Phone: (210) 358-4000
Registry dates
- Enumerated
- 2011-06-15
- Last updated
- 2021-01-18
- Certified
- 2021-01-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.