INTEGRAMED MEDICAL MISSOURI, LLC (NPI# 1275957169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275957169 |
| Entity Type | Organization |
| Organization Name | INTEGRAMED MEDICAL MISSOURI, LLC |
| Practice Address |
555 N New Ballas Rd Suite 150 Creve Coeur MO 63141-6825 |
| Practice Telephone | 3149839000 |
| Mailing Telephone | 3149839000 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-24 |
| Authorized Official Name | WILLIAM HUGHSON (PRESIDENT ANDSECRETARY) |
| Authorized Official Telephone | 3149839000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
MO | Allopathic & Osteopathic Physicians |
| Street Address |
555 N NEW BALLAS RD SUITE 150 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518282789 | Rachel G Elbl | Nurse Practitioner | 555 N New Ballas Rd, Suite 240, Creve Coeur, MO 63141-6825 | 2010-03-31 |
| 1952524548 | Paul Stein, M.d., Inc. | Internal Medicine | 555 N New Ballas Rd, Suite 110, Creve Coeur, MO 63141-6825 | 2007-04-11 |
| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 |
|---|---|---|---|---|
| 1265929459 | Reproductive Medical Associates of St Louis | Obstetrics & Gynecology | 641 N New Ballas Rd, Creve Coeur, MO 63141-6713 | 2018-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134484082 | Violet Klenov | Obstetrics & Gynecology | 621 S New Ballas Rd Tower A, Suite 676, St. Louis, MO 63141 | 2012-07-06 |
| 1063525038 | Peter Ahlering | Obstetrics & Gynecology | 555 N Ballas Rd, #150, Saint Louis, MO 63141 | 2006-08-16 |
| 1235160748 | Sarah L Keller | Obstetrics & Gynecology | 4444 Forest Park Ave Ste 3100, Ste 3100, Saint Louis, MO 63108-2212 | 2006-07-05 |
| 1316994841 | Reproductive Endocrine-infertility Care, P.a. | Obstetrics & Gynecology | 1206 Ne Windsor Dr, Lees Summit, MO 64086-5594 | 2006-05-29 |
| 1932178845 | Berold I Witten | Obstetrics & Gynecology | 555 N New Ballas Rd Ste 150, Saint Louis, MO 63141-6843 | 2006-03-14 |
| 1124092556 | Molina Bhatnagar Dayal | Obstetrics & Gynecology | 555 New Ballas Rd, Ste 150, St. Louis, MO 63141 | 2006-02-14 |
| 1336766492 | Stlfertility LLC | Obstetrics & Gynecology | 555 N New Ballas Rd Ste 150, Saint Louis, MO 63141-6843 | 2020-07-06 |
| 1508219445 | Blue Sky Fertility Services LLC | Obstetrics & Gynecology | 6675 Holmes Rd, Ste 680, Kansas City, MO 64131-1150 | 2016-07-15 |
| 1023473279 | Vios Fertility Institute St. Louis, LLC | Obstetrics & Gynecology | 621 S New Ballas Rd, Tower A, Suite 260, Saint Louis, MO 63141-8232 | 2015-12-15 |
| 1487076485 | Missouri Center for Reproductive Medicine, LLC | Obstetrics & Gynecology | 17300 N Outer 40 Rd, Suite 101, Chesterfield, MO 63005-1364 | 2014-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CREVE COEUR |
| Zip Code | 63141 |
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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.