Basic Information
Provider Information
NPI: 1760019095
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FERREE
FirstName: SARAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 660 S EUCLID AVE
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631101010
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 BARNES JEWISH HOSPITAL PLZ
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631101003
CountryCode: US
TelephoneNumber: 3143625000
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2020
LastUpdateDate: 07/13/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/13/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000X283945MOY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


Home