ST ANN OB GYN INC (NPI# 1063458305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063458305 |
| Entity Type | Organization |
| Organization Name | ST ANN OB GYN INC |
| Practice Address |
3009 N Ballas Road Suite 356c St Louis MO 63131-2322 |
| Practice Telephone | 3144322880 |
| Practice Fax Number | 3144324810 |
| Mailing Telephone | 3144322880 |
| Mailing Fax Number | 3144324810 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRED R MONTERUBIO JR. (VP VICE PRESIDENT) |
| Authorized Official Telephone | 3144322880 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 4270227 | 01 | |
| MEDICARE COMPLETE | 0700217 | 01 | |
| HEALTHLINK | 101340 | 01 | |
| BLUE CROSS BLUE SHIELD | 112759 | 01 | |
| BLUE CROSS BLUE SHIELD | 112754 | 01 | |
| GROUP HEALTH PLAN | 45077 | 01 | |
| CIGNA | SP15678 | 01 | |
| AETNA | 4217036 | 01 | |
| GROUP HEALTH PLAN | 46319 | 01 | |
| CIGNA | SP15671 | 01 | |
| UNITED HEALTHCARE | 0700217 | 01 | |
| HEALTHCARE USA | 5143 | 01 | |
| MEDICARE COMPLETE | 0700216 | 01 | |
| HEALTHLINK | 100174 | 01 | |
| HEALTHCARE USA | 3951 | 01 |
| Street Address |
3009 N BALLAS ROAD SUITE 356C |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63131-2322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093835712 | John M Laird Inc | Internal Medicine | 3009 N Ballas Road, Suite 230a, St Louis, MO 63131-2322 | 2007-03-29 |
| 1942376256 | Suburban Ob Gyn Ltd | Obstetrics & Gynecology | 3009 N Ballas Road, Suite 366c, St Louis, MO 63131 | 2006-11-28 |
| 1518063221 | John M Laird | Internal Medicine | 3009 N Ballas Road, Suite 230a, St Louis, MO 63131-2322 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447523485 | Andrew Evangelos Galakatos | Obstetrics & Gynecology | 4911 Barnes-jewish Hospital Plaza, Wusm 8064, St Louis, MO 63110-1093 | 2012-02-22 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| 1639230642 | John Brian Bennett | Obstetrics & Gynecology | St Anthonys Medical Center, St Louis, MO 63128-2106 | 2006-12-13 |
| 1265593271 | Amadu Padama Ortillo | Obstetrics & Gynecology | St Anthonys Medical Center 1, St Louis, MO 63128 | 2006-12-13 |
| 1952413023 | Frederick Vincent Behm | Obstetrics & Gynecology | 10345 Watson Rd, St Louis, MO 63122 | 2006-08-31 |
| 1225146582 | Jerome David Sachar | Obstetrics & Gynecology | 3023 N Ballas, Ste 440d, St Louis, MO 63131 | 2006-08-28 |
| 1982712246 | Plaza Obgyn Inc | Obstetrics & Gynecology | One Barnes Jewish Hospital Plaza, Ste 16306, St Louis, MO 63110 | 2006-08-28 |
| 1215457882 | Kristine Erin Brown | Obstetrics & Gynecology | 1 Barnes Jewish Hospital Plaza, St Louis, MO 63110 | 2017-06-23 |
| 1740341759 | Ivonne L Negron | Obstetrics & Gynecology | 10010 Kennerly Rd, St Louis, MO 63128-2106 | 2006-12-13 |
| 1942376256 | Suburban Ob Gyn Ltd | Obstetrics & Gynecology | 3009 N Ballas Road, Suite 366c, St Louis, MO 63131 | 2006-11-28 |
| Find all providers in ST LOUIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.