Midwest Urogynecology, LLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

2011012595 Issued in MO

Legal business name

MIDWEST UROGYNECOLOGY, LLC

Practice address

12 Carter CT
Olivette, MO 63132-2002

Phone

(314) 562-1812

NPI assigned

Jan 15, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Patrick Judd, M.D.

Title

Urogynecologist

Phone

(314) 562-1812

Specialties & licenses 1

Addresses

Tax ID family

Midwest Urogynecology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Midwest Urogynecology, LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Saint Louis, MO
  • NPI 1003280652
  NPD tax ID

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421280000000",
    "number": "1376932244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CARTER CT",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CARTER CT",
            "city": "OLIVETTE",
            "state": "MO",
            "postal_code": "631322002",
            "telephone_number": "314-562-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST UROGYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "UROGYNECOLOGIST",
        "authorized_official_telephone_number": "314-562-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MO",
            "license": "2011012595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon McKeon, RBT
• Amber Rose McLaughlin
• Mednet Inc.
• Carolyn J Meister, DPT
• Linda Louise Metz
• Missouri Community Counseling Associates
• Missouri CVS Pharmacy, L.L.C.
• Kayla Marie Mitchell
• Aaliyah Mobley
• Sarah Mohsen, RBT

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Olivette, MO
• Providers in Olivette, MO by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.