MACKENZIE P PURDY (NPI# 1194083006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194083006 |
| Entity Type | Individual |
| Full Name | MACKENZIE P PURDY |
| Credential | MD |
| Practice Address |
621 S New Ballas Road Tower A Suite #676 St. Louis MO 63141 |
| Mailing Address |
200 1st St Sw Rochester MN 55905-0002 |
| Practice Telephone | 8662588467 |
| Practice Fax Number | 3147822035 |
| Mailing Telephone | 5072842511 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 036.150496 | IL | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 2019034657 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 1st St Sw, Rochester, MN 559050002 | 5072842511 | |
| 6 Bronze Pointe S, Swansea, IL 622268307 | 8662588467 | 6182065017 |
| 333 S Desplaines St Ste 201, Chicago, IL 606615514 | 8662588467 | 7737826396 |
| 800 Rose Street, Lexington, KY 40536 | 2703657541 |
| Street Address |
621 S NEW BALLAS ROAD TOWER A SUITE #676 |
| City | ST. LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1962895896 | John B Martin | Obstetrics & Gynecology | 312 N. Meramec #300, St. Louis, MO 63105 | 2015-03-17 |
| 1023370020 | Teresa Hilgers | Obstetrics & Gynecology | 615 South New Ballas, Department of Obstetrics and Gynecology, St. Louis, MO 63141 | 2012-06-14 |
| 1134416449 | Andrew Ryan Davis | Obstetrics & Gynecology | 615 South New Ballas Road - Ob/gyn Department, St. Louis, MO 63141 | 2011-07-07 |
| 1295963940 | St. Anthony's Physician Organization Private Practices Lc | Obstetrics & Gynecology | 2900 Lemay Ferry Road, Suite 216, St. Louis, MO 63125-3900 | 2009-07-01 |
| 1962466896 | Christine M Ladd | Obstetrics & Gynecology | 3009 North Ballas Road, Suite 366 C, St. Louis, MO 63131 | 2006-04-17 |
| 1659369965 | Aaron J Pile | Obstetrics & Gynecology | 10135 W Florissant Ave, St. Louis, MO 63136-2103 | 2005-10-11 |
| 1043836844 | Jordan A Mcmanus | Obstetrics & Gynecology | 621 South New Ballas Road, Suite 2009 B, St. Louis, MO 63141 | 2020-06-18 |
| 1801411871 | Melissa Cantave | Obstetrics & Gynecology | 4901 Forest Park Avenue, Suite 8064-37-905, St. Louis, MO 63108 | 2020-06-15 |
| 1083239008 | Shannon Elizabeth Beermann | Obstetrics & Gynecology | 4901 Forest Park Avenue, Suite 8064-37-905, St. Louis, MO 63108 | 2020-06-15 |
| 1548780653 | Andrew Michael Futterman | Obstetrics & Gynecology | 615 South New Ballas, Ob/gyn, St. Louis, MO 63141 | 2017-06-21 |
| 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.