St Ann OB GYN Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

ST ANN OB GYN INC

Practice address

3009 N Ballas Road
Suite 356C
St Louis, MO 63131-2322

Phone

(314) 432-2880

Fax

(314) 432-4810

NPI assigned

Jun 22, 2006

Last updated

Aug 22, 2020By 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

Fred R Monterubio Jr., MDNPI 1962400143

Title

VP Vice President

Phone

(314) 432-2880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fred Roanld Monterubio Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
  • NPI 1962400143
  Authorized official Same address or phone

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063458305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS ROAD",
            "address_2": "SUITE 356C",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-432-2880",
            "fax_number": "314-432-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS ROAD",
            "address_2": "SUITE 356C",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-432-2880",
            "fax_number": "314-432-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANN OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTERUBIO",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP VICE PRESIDENT",
        "authorized_official_telephone_number": "314-432-2880",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Saint Louis, MO
• Providers in Saint Louis, 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 Aug 22, 2020; 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.