Individual provider Active NPI

Stephanie Lee Cogan-Levy, MD

  • Obstetrics & Gynecology Physician
  • Bridgeton, MO
National Provider Identifier
1407964281
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2005038614 Issued in MO
Practice address
12277 De Paul Dr
Ste 501S
Bridgeton, MO 63044-2516
Phone
(314) 739-8844
Fax
(314) 739-5431
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 2005038614 MO Primary

Addresses

Primary practice location

12277 De Paul Dr
Ste 501S
Bridgeton, MO 63044-2516

Mailing address

224 S Woods Mill Rd
Ste 510S
Chesterfield, MO 63017-3451
Phone (314) 434-6130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West County Adult Medicine, LLC PastSince Jul 1, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1407964281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 510S",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-434-6130",
            "fax_number": "314-434-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR",
            "address_2": "STE 501S",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442516",
            "telephone_number": "314-739-8844",
            "fax_number": "314-739-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGAN-LEVY",
        "first_name": "STEPHANIE",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2005038614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.