Organization Active NPI

Womens Care Specialists, LLC

  • Obstetrics & Gynecology Physician
  • Saint Peters, MO
National Provider Identifier
1093844185
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
104103 Issued in MO
Legal business name
WOMENS CARE SPECIALISTS, LLC
Practice address
209 First Executive Ave
Saint Peters, MO 63376-1697
Phone
(314) 432-1047
Fax
(636) 939-4257
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Janet Matuszek
Title
Owner / DO
Phone
(636) 936-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 104103 MO Primary

Addresses

Primary practice location

209 First Executive Ave
Saint Peters, MO 63376-1697

Mailing address

209 First Executive Ave
Saint Peters, MO 63376-1697
Phone (636) 936-8777

National Provider Directory

National Provider Directory

Locations

209 First Executive Ave
Ste 209
Saint Peters, MO 63376

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1093844185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 FIRST EXECUTIVE AVE",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761697",
            "telephone_number": "636-936-8777",
            "fax_number": "636-939-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FIRST EXECUTIVE AVE",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761697",
            "telephone_number": "314-432-1047",
            "fax_number": "636-939-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "MATUSZEK",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER / DO",
        "authorized_official_telephone_number": "636-936-8777"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "104103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.