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 provides General Practice Physician services 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.

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Practice location Address checks out

9231 W Florissant Ave
Saint Louis, MO 63136-1422 Not confirmed with CMS for 16 years — call before visiting
Phone: (314) 522-1888
Fax: (314) 522-9674
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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

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