PHYSICIAN GROUPS LC (NPI# 1750562542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750562542 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN GROUPS LC |
| Other Organization Name | OFFICE OF DR. GRAY-SWAIN |
| Practice Address |
1 Barnes Jewish Hospital Plz Ste. 16312 Saint Louis MO 63110-1003 |
| Mailing Address |
670 Mason Ridge Center Dr Suite 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 3143619000 |
| Practice Fax Number | 3143617175 |
| Mailing Telephone | 3149967644 |
| Mailing Fax Number | 3149967658 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | RAYMOND P DAVIDSON II (PRESIDENT) |
| Authorized Official Telephone | 3142862028 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2006013161 | MO | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Office of Dr. Gray-Swain | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033236948 | Physician Groups Lc | Allergy & Immunology | 301 West Washington Street, Suite 5, Farmington, MO 63640-1921 | 2007-03-23 |
| 1144357278 | Physician Groups Lc | Family Medicine | 1110 Wolfrum Rd, Weldon Spring, MO 63304-7796 | 2007-02-27 |
| 1427114990 | Physician Groups Lc | Clinic/Center | 1103 W Liberty, Farmington, MO 63640-1921 | 2006-12-29 |
| 1770650020 | Physician Groups Lc | Clinic/Center | 6 Jungermann Road, Suite 108, Saint Peters, MO 63376 | 2006-11-30 |
| 1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
| 1285664268 | Physician Groups Lc | Clinic/Center | 670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573 | 2006-07-04 |
| 1790978757 | Physician Groups Lc | Internal Medicine | 2 Progress Point Ct, Suite 101c, O Fallon, MO 63368-2208 | 2007-08-23 |
| 1043403009 | Physician Groups Lc | Obstetrics & Gynecology | 70 Jungermann Cir, Suite 101, Saint Peters, MO 63376-1622 | 2007-08-23 |
| 1598958787 | Physician Groups Lc | Colon & Rectal Surgery | 11155 Dunn Rd, Ste. 312e Bldg. 1, Saint Louis, MO 63136-6150 | 2007-08-22 |
| 1316130503 | Physician Groups Lc | Orthopaedic Surgery | 2630 Highway K, O Fallon, MO 63368-6624 | 2007-08-22 |
| Street Address |
1 BARNES JEWISH HOSPITAL PLZ STE. 16312 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898010 | Jessica R Doiron | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2005-06-01 |
| 1295335966 | Tracy Novak | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-30 |
| 1437759545 | Michelle Nicole Rutter | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-28 |
| 1861092108 | John Michael Luker | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-27 |
| 1396344289 | Jordana Culanculan | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
| 1871192799 | Harold Anthony Tatum Jr. | Student in an Organized Health Care Education/Training Program | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-21 |
| 1245839323 | Michelle Juengling | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-10-20 |
| 1962018382 | Adeel Haq | Radiology | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-21 |
| 1568077568 | Joseph Daniel Balassi | Nurse Anesthetist, Certified Registered | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-09-15 |
| 1053924464 | Melissa Lee Prewitt | Nurse Practitioner | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2020-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| 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 |
|---|---|---|---|---|
| 1568984367 | Gsh Lab LLC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 | 2017-07-13 |
| 1851825715 | Sydni Fazenbaker Crowell | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 | 2017-04-18 |
| 1962865170 | Zachary Keller | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 499a, Saint Louis, MO 63141-8260 | 2016-04-04 |
| 1174985154 | Leah Hong | Obstetrics & Gynecology | 6420 Clayton Rd Ste 2800, Saint Louis, MO 63117-1811 | 2016-03-28 |
| 1972997088 | Jennifer E Powel | Obstetrics & Gynecology | 6420 Clayton Rd Ste 230-a, Saint Louis, MO 63117-1811 | 2015-03-26 |
| 1386068864 | Wcc 2, LLC | Obstetrics & Gynecology | 3023 N Ballas Rd Bldg D, Suite 120d, Saint Louis, MO 63131-2330 | 2014-02-05 |
| 1881987410 | Herman Taute | Obstetrics & Gynecology | 12040 Heatherdane Dr, Saint Louis, MO 63131-3119 | 2011-05-16 |
| 1174828198 | Frank Eugene Hunleth | Obstetrics & Gynecology | 5331 Donovan Ave, Saint Louis, MO 63109-2635 | 2011-01-22 |
| 1972804631 | Anastasios K Dagartzikas | Obstetrics & Gynecology | 12902 Tundra Ct, Saint Louis, MO 63131-1319 | 2010-11-11 |
| 1811227390 | Laurel D Fendrich | Obstetrics & Gynecology | 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128 | 2010-01-06 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.