Maryville Womens Center PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARYVILLE WOMENS CENTER PC

Practice address

4972 State Route 159
Glen Carbon, IL 62034

Phone

(618) 288-2970

Fax

(618) 288-3572

NPI assigned

Dec 15, 2017

Last updated

Apr 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Beer

Title

Practice Manager

Phone

(618) 288-2970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20824/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodolfo Scott Beer, MD

  • Obstetrics & Gynecology Physician
  • Glen Carbon, IL
  • NPI 1568428605
  Medicare reassignment Care Compare group NPD
• Sarah E Pringle, CNP

  • Advanced Practice Midwife
  • Belleville, IL
  • NPI 1285879882
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1356857171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 STATE ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-288-2970",
            "fax_number": "618-288-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 STATE ROUTE 159",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "62034",
            "telephone_number": "618-288-2970",
            "fax_number": "618-288-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVILLE WOMENS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-15",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BEER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "618-288-2970"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Luer, P.T.
• Kevin Michael Luitjohan
• Lutheran Senior Services (Meridian Village Care Center)
• Claribel Manriquez, CM
• Jadon Thomas Marlin
• Jeffrey Scott Mastroianni, DMD
• Collin Alexander Mayheu, RBT
• Mark L McAninch, RPH
• Morgan McAteer, DMD
• Kim M McCausland, M.S. CCC-SLP

• Obstetrics & Gynecology Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.