NICHOLAS F. ROCKEFELLER (NPI# 1699185660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699185660 |
| Entity Type | Individual |
| Full Name | NICHOLAS F. ROCKEFELLER |
| Practice Address |
6420 Clayton Rd Saint Louis MO 63117 |
| Mailing Address |
6420 Clayton Rd Saint Louis MO 63117-1811 |
| Practice Telephone | 3147688000 |
| Practice Fax Number | 3146458771 |
| Mailing Telephone | 3147688000 |
| Mailing Fax Number | 3146458771 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2018-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 2014020090 | MO | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NM | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
RS2018-0404 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Msc Obgyn 1 University of New Mexico Albuquerque, Albuquerque, NM 871310001 | 5052722245 |
| Street Address |
6420 CLAYTON RD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276874 | Lynn A Whitmer | Anesthesiology | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2005-06-22 |
| 1477162147 | James Unverferth | Pharmacist | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-07-28 |
| 1184248395 | Anna Petrovna Puzyrkova | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-06-03 |
| 1376163261 | Md S Ali | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-21 |
| 1992324214 | Avi Gandhi | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1205456597 | Faisal Akasha Ramadan Sakeen | Internal Medicine | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-16 |
| 1255950796 | Saira Ibrahim | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1023637568 | Max Harrison Rich | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1386263879 | Sara Sartaj | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| 1558980037 | Nedaa M. Husainat | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Saint Louis, MO 63117-1811 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
| 1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
| 1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
| 1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
| 1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
| 1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
| 1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
| 1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
| 1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
| 1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
| Find all providers in zip 63117 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780923490 | Fareesa Khan LLC | Obstetrics & Gynecology | 10004 Kennerly Rd Ste 255a, Saint Louis, MO 63128-2184 | 2013-02-01 |
| 1003280652 | Midwest Urogynecology, LLC | Obstetrics & Gynecology | 2325 Dougherty Ferry Rd, Suite 206, Saint Louis, MO 63122-3356 | 2015-11-19 |
| 1619177680 | Sara C Wood | Obstetrics & Gynecology | 621 S New Ballas Rd, Suite 2002b, Saint Louis, MO 63141 | 2007-07-18 |
| 1629047626 | Dionysios K Veronikis | Obstetrics & Gynecology | 621 S New Ballas Rd, Suite 2002 Tower B, Saint Louis, MO 63141-8232 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192239 | Curators of The University of Missouri | Obstetrics & Gynecology | 4040 Range Line St Ste 100, Columbia, MO 65202-1605 | 2018-11-07 |
| 1376932244 | Midwest Urogynecology, LLC | Obstetrics & Gynecology | 12 Carter Ct, Olivette, MO 63132-2002 | 2015-01-15 |
| City | SAINT LOUIS |
| Zip Code | 63117 |
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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.