St. Luke's WHC, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ST. LUKE'S WHC, LLC

Doing business as

Midwest Breast Care Center

Practice address

450 N New Ballas Rd
Suite 250
Saint Louis, MO 63141-6835

Phone

(314) 567-4449

Fax

(314) 567-0762

NPI assigned

Feb 8, 2008

Last updated

Feb 8, 2008By 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

Donald D. Jacobsen

Title

Officer (Secretary)

Phone

(952) 543-6500

Specialties & licenses 1

Addresses

Other names 1

• Midwest Breast Care Center Doing business as

Locations

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1396923694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NW 5946",
            "address_2": "P.O. BOX 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554855946",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N NEW BALLAS RD",
            "address_2": "SUITE 250",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416835",
            "telephone_number": "314-567-4449",
            "fax_number": "314-567-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S WHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICER (SECRETARY)",
        "authorized_official_telephone_number": "952-543-6500"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Breast Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Louis Vamc John Cochran
• St. Louis-Clayton Orthopedic Group, Inc.
• Rachel St. Louis
• St. Luke's Des Peres Episcopal-Presbyterian Hospital (St. Luke's Des Peres Hospital)
• St. Luke's Des Peres Episcopal-Presbyterian Hospital (St. Luke's Des Peres Hospital)
• St. Lukes Pediatric Care
• St. Mary's Health Center
• St. Patrick Center
• St. Patrick Center
• St. Patrick Center

• Diagnostic Radiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.