Organization Active NPI

Florssant County OB-GYN

  • Obstetrics & Gynecology Physician
  • Florissant, MO
National Provider Identifier
1083734370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35367 Issued in MO
Legal business name
FLORSSANT COUNTY OB-GYN
Practice address
1224 Graham Rd Ste 1113
Florissant, MO 63031-8028
Phone
(314) 839-4500
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chinda Rojanasathit, M.D.
Title
Physician
Phone
(314) 839-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35367 MO Primary

Addresses

Primary practice location

1224 Graham Rd Ste 1113
Florissant, MO 63031-8028

Mailing address

1224 Graham Rd Ste 1113
Florissant, MO 63031-8028
Phone (314) 839-4500

Other identifiers 1

IdentifierTypeStateIssuer
18471OtherMOBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1224 Graham Rd
Ste 1113
Florissant, MO 63031
Phone (314) 355-3175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083734370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD STE 1113",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GRAHAM RD STE 1113",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318028",
            "telephone_number": "314-839-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORSSANT COUNTY OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROJANASATHIT",
        "authorized_official_first_name": "CHINDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-839-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "35367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "18471",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • 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.