FRG RLT Holdings, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

FRG RLT HOLDINGS, INC.

Doing business as

St Joseph Obstetrics and Gynecology

Practice address

1747 Smizer Station Rd Ste 1
Fenton, MO 63026-2784

Phone

(636) 861-2125

Fax

(636) 861-1691

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Amy L Elliott

Title

Account Manager

Phone

(314) 593-2694

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Joseph Obstetrics and Gynecology Doing business as

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1144798737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790379",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790379",
            "telephone_number": "314-628-1405",
            "fax_number": "314-878-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD STE 1",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-861-2125",
            "fax_number": "636-861-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRG RLT HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "314-593-2694"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H08266",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Joseph Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Joseph Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tessa D Forthaus, OTR/L
• Lawrence W Fournier Jr., CRNA
• Stacy Fowler, LMSW
• Margaret Marie Freihaut, DC
• Dawn Rochelle French, OTR
• Christopher Paul Friesen, DO
• Mark Froidl
• Dana Gaal, PHARMD
• Galen Inpatient Physicians PC.
• Galen Inpatient Physicians, PC

• 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 Jul 3, 2024; 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.