Active NPI
Jacob Klein, MD
- Obstetrics & Gynecology Physician
- St Louis, MO
National Provider Identifier
1194780213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R5252
- Practice address
- 3009 North Ballas Road
Suite 366 C
St Louis, MO 63131 - Phone
- (314) 569-2424
- Fax
- (314) 569-2158
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R5252 | MO | Primary |
Addresses
Primary practice location
3009 North Ballas Road
Suite 366 C
St Louis, MO 63131
Mailing address
10033 Conway
St Louis, MO 63124
Phone (314) 432-1717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R5252 | MO | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1194780213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10033 CONWAY",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63124",
"telephone_number": "314-432-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 NORTH BALLAS ROAD",
"address_2": "SUITE 366 C",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63131",
"telephone_number": "314-569-2424",
"fax_number": "314-569-2158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIN",
"first_name": "JACOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R5252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.