Individual provider Active NPI

Jennifer K. McDonald, D.O.

  • Obstetrics & Gynecology Physician
  • Chesterfield, MO
National Provider Identifier
1376641886
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MO2002023850 Issued in MO
Practice address
111 Saint Lukes Center Dr Ste 44
Chesterfield, MO 63017-3509
Phone
(314) 576-2424
Fax
(314) 576-2381
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MO2002023850 MO Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr Ste 44
Chesterfield, MO 63017-3509

Mailing address

16216 Baxter Rd
Suite 100
Chesterfield, MO 63017-4770
Phone (636) 449-4700

Other practice location 1

16216 Baxter Rd
Ste 100
Chesterfield, MO 63017-4770
Phone (636) 449-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000341 MO Practitioner - Obstetrics/Gynecology 5496855934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Lake Erie College of Osteopathic Medicine, Erie, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Women's Healthcare, LLCGroup PAC ID 2961534417, 10 clinicians

Practice addresses (Care Compare)

111 Saint Lukes Ctr Dr
Suite 44
Chesterfield, MO 63017-3509
Phone (314) 576-2424

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MO2002023850MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West County Women's Healthcare, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Jul 22, 2013 Accepting new patients
St. Lukes Medical Group Obstetrics & Gynecology Past Accepting new patients
St. Lukes Episcopal-Presbyterian Hospital Past Accepting new patients
Medical Weight Management Specialists, LLC PastSince Jun 1, 2017 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

111 Saint Lukes Center Dr
Ste 44
Chesterfield, MO 63017
Phone (314) 576-2424

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

226 S Woods Mill Rd
Ste 68W
Chesterfield, MO 63017
Phone (314) 205-6788

111 Saint Lukes Center Dr
#44B
Chesterfield, MO 63017

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Interoperability endpoints

  • Direct secure messaging: jennifer.mcdonald@518411815747588.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1376641886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16216 BAXTER RD",
            "address_2": "SUITE 100",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630174770",
            "telephone_number": "636-449-4700",
            "fax_number": "636-449-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR STE 44",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-576-2424",
            "fax_number": "314-576-2381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16216 Baxter Rd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630174770",
            "country_code": "US",
            "telephone_number": "636-449-4700",
            "fax_number": "363-449-2595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JENNIFER",
        "middle_name": "K.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "MO2002023850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.