ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC (NPI# 1679735302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679735302 |
| Entity Type | Organization |
| Organization Name | ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC |
| Other Organization Name | UROGYNECOLOGY CONSULTANTS |
| Practice Address |
12700 Southfork Rd Ste 255 Saint Louis MO 63128-3201 |
| Mailing Address |
10012 Kennerly Rd Ste 403 Saint Louis MO 63128-2197 |
| Practice Telephone | 3145251800 |
| Mailing Telephone | 3145251800 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2012-06-18 |
| Authorized Official Name | DAVE HINKLE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3145435903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urogynecology Consultants | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497928907 | St Anthony's Physician Organization Private Practices Lc | Psychiatry & Neurology | 10004 Kennerly Rd, Ste 364-b, Saint Louis, MO 63128-2141 | 2008-04-04 |
| 1063609014 | St Anthony's Physician Organization Private Practices Lc | Obstetrics & Gynecology | 10012 Kennerly Rd, Ste 405, Saint Louis, MO 63128-2197 | 2007-10-03 |
| 1609063650 | St Anthony's Physician Organization Private Practices Lc | Internal Medicine | 12700 Southfork Rd, Ste 215, Saint Louis, MO 63128-3201 | 2007-10-03 |
| 1053508002 | St Anthony's Physician Organization Private Practices Lc | Obstetrics & Gynecology | 714 Gravois Rd, Ste 220, Fenton, MO 63026-7723 | 2007-10-03 |
| 1134316185 | St Anthony's Physician Organization Private Practices Lc | Surgery | 10004 Kennerly Rd, Ste 268b, Saint Louis, MO 63128-2141 | 2007-10-03 |
| 1215123427 | St Anthony's Physician Organization Private Practices Lc | Internal Medicine | 10010 Kennerly Rd, 3rd Floor, Saint Louis, MO 63128-2106 | 2007-09-20 |
| Street Address |
12700 SOUTHFORK RD STE 255 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63128-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214778 | Nancy P Bierman Birner | Internal Medicine | 12700 Southfork Rd, Ste 215, Saint Louis, MO 63128-3201 | 2005-06-10 |
| 1588026421 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 200/220, Saint Louis, MO 63128-3201 | 2016-03-21 |
| 1437515202 | Rebecca Heimburger | Nurse Practitioner | 12700 Southfork Rd, Ste 230, Saint Louis, MO 63128-3201 | 2016-01-11 |
| 1841660792 | Kelly Ann Wilkens | Nurse Practitioner | 12700 Southfork Rd, Ste 200, Saint Louis, MO 63128-3201 | 2015-10-05 |
| 1346631819 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 12700 Southfork Rd, Ste 230, Saint Louis, MO 63128-3201 | 2015-02-05 |
| 1245641968 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd, Ste 270, Saint Louis, MO 63128-3201 | 2014-05-15 |
| 1801218300 | St. Anthony's Physician Organization | Surgery | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2014-01-17 |
| 1982952560 | Swati Patolia | Internal Medicine | 12700 Southfork Rd, Ste 200 & 220, Saint Louis, MO 63128-3201 | 2012-08-29 |
| 1780945022 | St Anthony's Physician Organization Private Practices, Lc | Audiologist | 12700 Southfork Rd, Suite 255, Saint Louis, MO 63128-3201 | 2012-06-04 |
| 1932491263 | St Anthony's Physician Organization Specialty Services LLC | Assisted Living Facility | 12700 Southfork Rd, Suite 105, Saint Louis, MO 63128-3201 | 2011-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771155 | James T Fetsch Dmd LLC | Dentist | 10004 Kennerly Rd Suite 240, Saint Louis, MO 63128 | 2019-10-11 |
| 1326504655 | Nikodem Dental Holdings | Dentist | 4337 Butler Hill Rd Suite G, St Louis Mo, MO 63128 | 2019-02-12 |
| 1932678505 | Michelle Anne Arvidson | Physical Therapy Assistant | Elite Physical Therapy, 12608 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2018-11-13 |
| 1245726710 | Kristen Rider | Nurse Practitioner | 9964 Kennerly Rd Ste D, Saint Louis, MO 63128 | 2018-07-07 |
| 1306217427 | Sophia Bednarski | Dentist | 12660 Lamplighter Square Shopping Center, St. Louis, MO 63128 | 2015-10-15 |
| 1427434224 | Darcie Burrus | Counselor | 12523 Old Tesson Rd G, St Louis, MO 63128 | 2015-08-04 |
| 1710368584 | Sara Hawatmeh | Internal Medicine | 12345 W Bend Dr Ste 304, Saint Louis, MO 63128 | 2015-06-17 |
| 1871989590 | Celia Grace Montes-kolence | Speech-Language Pathologist | 12335 W Bend Drive, Saint Louis, MO 63128 | 2015-04-09 |
| 1245629302 | Marius Antonio Evans | Dentist | 9911 Kennerly Rd., Suite G, St. Louis, MO 63128 | 2015-01-13 |
| 1801230313 | Sarah Elizabeth Walsh | Emergency Medicine | 10010 Kennerly Road, Emergency Department, St. Anthony's Medical Center, St. Louis, MO 63128 | 2013-04-26 |
| Find all providers in zip 63128 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404546 | Jean-alfred Thomas Inc | Obstetrics & Gynecology | 1031 Bellevue Ave # B, Suite 200, Saint Louis, MO 63117-1818 | 2015-08-07 |
| 1467414177 | Renee D Ewing | Obstetrics & Gynecology | 211 N Meramec Ave, Suite 200, Saint Louis, MO 63105-3745 | 2006-04-06 |
| 1457766255 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 10004 Kennerly Rd, Ste 395b, Saint Louis, MO 63128-2141 | 2014-07-01 |
| 1144634502 | Whitney Trotter Ross | Obstetrics & Gynecology | 4901 Forest Park Ave, Ste 710, Saint Louis, MO 63108-1495 | 2014-06-13 |
| 1194972125 | Thomas R Whalen Md LLC | Obstetrics & Gynecology | 621 S New Ballas Rd, Tower A Suite 537, Saint Louis, MO 63141-8232 | 2008-08-21 |
| 1649478678 | Erin Lee King | Obstetrics & Gynecology | 2220 Lemp Ave, Saint Louis, MO 63104-2700 | 2007-07-11 |
| 1235354143 | Seasons Healthcare for Women | Obstetrics & Gynecology | 10004 Kennerly Rd, Suite 395b, Saint Louis, MO 63128-2141 | 2007-04-16 |
| 1578613915 | Catherine Elizabeth Roane-blaker | Obstetrics & Gynecology | 11125 Dunn Rd Ste 406, Saint Louis, MO 63136 | 2007-01-10 |
| 1467549329 | Josiah O Ekunno | Obstetrics & Gynecology | 11125 Dunn Road, Suite 202, Saint Louis, MO 63136 | 2006-10-10 |
| 1952419210 | Scott W Biest | Obstetrics & Gynecology | 4901 Forest Park Ave Ste 710, Ste 710, Saint Louis, MO 63108-1402 | 2006-08-28 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63128 |
Please comment or provide details below to improve the information on ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC.
| 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.