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

SSM Cardinal Glennon Children's Hospital

Organization Pediatrics Physician · NPI 1962573212

SSM Cardinal Glennon Children's Hospital is a Pediatrics Physician in Warrenton, Missouri. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

511 Ashland Ave
Warrenton, MO 63383-1065
Phone: (636) 456-0543
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1962573212
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSSM Health Care St Louis
Authorized official Tim Buller — Regional Cfo - Financial Strategy · (314) 989-2173
Other names Ssm Health Cardinal Glennon Pediatrics; Warrenton Clinic
NPI enumeratedNovember 10, 2006
Last updated in NPPESJuly 19, 2019
Mailing address1195 Corporate Lake Dr, Saint Louis, MO 63132-1716

Other providers in Warrenton