Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maranatha Healthcare PC

Organization General Practice Physician · NPI 1679896716

Maranatha Healthcare PC is a General Practice Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2010.

Licensed in
MO
In the registry since
2010
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9231 W Florissant Ave
Saint Louis, MO 63136-1422
Phone: (314) 522-1888
Fax: (314) 522-9674
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence R7F89 (MO)
General Practice Physician Taxonomy 208D00000X · Licence R7F89 (MO)
Pain Medicine Physician Taxonomy 208VP0000X · Licence R7F89 (MO)

Record details

NPI number1679896716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adeluola Lipede — President · (314) 522-1888
NPI enumeratedMarch 3, 2010
Last updated in NPPESMay 17, 2010
Mailing addressPo Box 3980, Chesterfield, MO 63006-3980

Other providers in Saint Louis