Provider Demographics
NPI:1952451999
Name:OREN, PHINEAS P (MD)
Entity Type:Individual
Prefix:DR
First Name:PHINEAS
Middle Name:P
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 1:621 S NEW BALLAS RD
Practice Address - Street 2:SUITE: 6009-B
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-6299
Practice Address - Fax:314-251-4450
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2013-07-03
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Provider Licenses
StateLicense IDTaxonomies
MO20080225822080P0203X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100093110Medicaid
KS200605670AMedicaid