Active NPI
Olivia Jo Ludwig, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036137299
- Practice address
- 211 S 3Rd St
Belleville, IL 62220-1915 - Phone
- (618) 234-2120
- Fax
- (618) 222-4630
- NPI assigned
- Jun 4, 2007
- Last updated
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 036137299 | IL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 2007018019 | MO | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036137299 | IL | Primary |
Addresses
Primary practice location
211 S 3Rd St
Belleville, IL 62220-1915
Mailing address
5700 Southwyck Blvd
Toledo, OH 43614-1509
Phone (800) 274-2158
Other names 1
- Olivia Jo Ison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- University of Louisville School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1402 S Grand Blvd
Saint Louis, MO 63104-1004
Phone (314) 577-8475
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
- SSM Health St Mary's Hospital - St Louis
- Good Samaritan Regional HLTH Center
- Anderson Hospital
- Osf Saint Anthony's Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036137299 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 2007018019 | MO | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carestl Health | Current | Accepting new patients | |
| SSM Health Care Group | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Carestl Health | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Carestl Health | Current | Accepting new patients | |
| Carestl Health | Past | Accepting new patients |
Locations
9303 Midland Blvd
Overland, MO 63114
Phone 31436758206119
3312 Ashby Rd
Saint Ann, MO 63074
Phone (314) 493-6200
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
10135 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 521-1444
11300 Dunn Rd
Saint Louis, MO 63138
Phone (505) 999-9290
1218 Shepley Dr
Saint Louis, MO 63137
Phone (314) 367-8520
1402 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 577-8762
2425 Whittier St
Saint Louis, MO 63113
Phone (314) 371-3100
2901 N Grand Blvd
Saint Louis, MO 63107
4500 Pope Ave
Saint Louis, MO 63115
Phone 3143675820 ext. 84940
5471 Martin Luther King Dr
Saint Louis, MO 63112
Phone 3143675820 ext. 2221
5541 Riverview Blvd
Saint Louis, MO 63120
Phone (314) 389-4566
7047 Emma Ave
Saint Louis, MO 63136
Phone (314) 653-8070
Interoperability endpoints
- oludwig@yourcarecommunity.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
Anatomic Pathology & Clinical Pathology
-
dba Homer G. Phillips Health Center
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1376685529
-
- Federally Qualified Health Center (FQHC)
- Overland, MO
- NPI 1275363137
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1972596088
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Federally Qualified Health Center (FQHC)
- Jennings, MO
- NPI 1912440876
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
dba Osf Saint Anthony's Health Center
- General Acute Care Hospital
- Alton, IL
- NPI 1710396932
-
dba SSM Health Cardinal Glennon Children's Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
dba SSM Health St. Mary's Hospital - St. Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1326240102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 SOUTHWYCK BLVD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436141509",
"telephone_number": "800-274-2158",
"fax_number": "419-866-5453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S 3RD ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201915",
"telephone_number": "618-234-2120",
"fax_number": "618-222-4630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWIG",
"first_name": "OLIVIA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "IL",
"license": "036137299",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MO",
"license": "2007018019",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036137299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "ISON",
"middle_name": "JO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.