Provider Demographics
NPI:1912357989
Name:BIGLEY, TARIN M (MD)
Entity Type:Individual
Prefix:DR
First Name:TARIN
Middle Name:M
Last Name:BIGLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60352
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63160-0352
Mailing Address - Country:US
Mailing Address - Phone:314-454-6124
Mailing Address - Fax:844-616-1418
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DIV PED RHEUMATOLOGY
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6124
Practice Address - Fax:844-616-1418
Is Sole Proprietor?:No
Enumeration Date:2016-06-20
Last Update Date:2024-04-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2018025322208000000X, 2080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200063050Medicaid