St Anthony's Physician Organization Private Practices LC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC

Doing business as

Premier Women's Health Care

Practice address

714 Gravois Rd
Ste 220
Fenton, MO 63026-7723

Phone

(636) 717-6777

Fax

(636) 717-6778

NPI assigned

Oct 3, 2007

Last updated

Jun 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dave Hinkle

Title

Exec Director

Phone

(314) 543-5903

Specialties & licenses 1

Addresses

Other names 1

• Premier Women's Health Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1053508002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "address_2": "STE 220",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267723",
            "telephone_number": "636-717-6777",
            "fax_number": "636-717-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 GRAVOIS RD",
            "address_2": "STE 220",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267723",
            "telephone_number": "636-717-6777",
            "fax_number": "636-717-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "314-543-5903"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Women's Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SSM Medical Group (Family Practice of South County)
• SSM Medical Group (SSM Medical Group DBA Joseph C. Rudolph, M.D.)
• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM Medical Group, Inc. (SSM Health Medical Group)
• SSM St Clare Surgical Center LLC
• St Louis Counseling Inc
• St Louis Dermatology LLC
• St Louis Spine and Joint Pain Specialists LLC
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)
• St. Anthony's Physician Organization (Mercy Clinic South Physicians)

• Obstetrics & Gynecology Physician in Fenton, MO
• Providers in Fenton, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.