Organization Active NPI

Integramed Medical Missouri, LLC

  • Reproductive Endocrinology Physician
  • Saint Louis, MO
National Provider Identifier
1275957169
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
INTEGRAMED MEDICAL MISSOURI, LLC
Practice address
555 N New Ballas Road
Suite 150
Saint Louis, MO 63141
Phone
(314) 983-9000
NPI assigned
Feb 12, 2014
Organization subpart
Yes
Parent organization
INTEGRAMED MEDICAL MISSOURI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Maureen SchulteNPI 1518287572
Title
Partner/Operations Director
Phone
(314) 983-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X MO Primary

Addresses

Primary practice location

555 N New Ballas Road
Suite 150
Saint Louis, MO 63141

Mailing address

555 N New Ballas Road
Suite 150
Saint Louis, MO 63141
Phone (314) 983-9000

Other names 1

  • STL Fertility Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0971292STL Fertility555 N New Ballas Rd, Ste 150, Creve Coeur, MO 63141AccreditationJan 14, 2028

National Provider Directory

National Provider Directory
Part of
Integramed Medical Missouri LLC

Locations

555 N New Ballas Rd
Ste 150
Saint Louis, MO 63141
Phone (314) 983-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1275957169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS ROAD",
            "address_2": "SUITE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-983-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N NEW BALLAS ROAD",
            "address_2": "SUITE 150",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-983-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRAMED MEDICAL MISSOURI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRAMED MEDICAL MISSOURI, LLC",
        "enumeration_date": "2014-02-12",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "SCHULTE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PARTNER/OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "314-983-9000"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STL Fertility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.