Individual provider Active NPI

Andrew Evangelos Galakatos, MD

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1447523485
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
30180 Issued in MO
Practice address
4911 Barnes-Jewish Hospital Plaza
Wusm 8064
St Louis, MO 63110-1093
Phone
(314) 362-2961
Fax
(314) 747-1490
NPI assigned
Feb 22, 2012
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 30180 MO Primary
Gynecologic Oncology Physician 207VX0201X 30180 MO

Addresses

Primary practice location

4911 Barnes-Jewish Hospital Plaza
Wusm 8064
St Louis, MO 63110-1093

Mailing address

8025 Maryland Avenue
Unit 4 G
St Louis, MO 63105-3896
Phone (314) 362-2961

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30180MOMDGynecologic Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1447523485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 MARYLAND AVENUE",
            "address_2": "UNIT 4 G",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631053896",
            "telephone_number": "314-362-2961",
            "fax_number": "314-747-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 BARNES-JEWISH HOSPITAL PLAZA",
            "address_2": "WUSM 8064",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631101093",
            "telephone_number": "314-362-2961",
            "fax_number": "314-747-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAKATOS",
        "first_name": "ANDREW",
        "middle_name": "EVANGELOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "30180",
            "primary": true
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MO",
            "license": "30180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.