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

Dr. Gregory Richard Booth, MD

Individual provider Pediatrics Physician · NPI 1801007018

Dr. Gregory Richard Booth, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

621 S New Ballas Rd Ste 2016B
Saint Louis, MO 63141-8265
Phone: (143) 251-5860
Fax: (314) 251-5861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 2002001984 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2002001984 (MO)

Record details

NPI number1801007018
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2007
Last updated in NPPESFebruary 13, 2020
Certification dateFebruary 13, 2020

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