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

Jerod Prutch, MD

Individual provider Pediatrics Physician · NPI 1750126009

Jerod Prutch, MD is a Pediatrics Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1 Childrens Pl
Saint Louis, MO 63110-1002
Phone: (314) 454-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2024024718 (MO)

Record details

NPI number1750126009
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESJune 27, 2024
Certification dateJune 13, 2024

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