NPIMap

Organization Active NPI

Missouri Center for Reproductive Medicine, LLC

  • Reproductive Endocrinology Physician
  • Chesterfield, MO
National Provider Identifier
1487076485
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
MISSOURI CENTER FOR REPRODUCTIVE MEDICINE, LLC
Practice address
17300 N Outer 40 Rd
Suite 101
Chesterfield, MO 63005-1364
Phone
(573) 442-1886
Fax
(573) 442-8370
NPI assigned
Jan 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Rachel Dill
Title
Office Administrator
Phone
(573) 442-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VE0102X Primary

Addresses

Primary practice location

17300 N Outer 40 Rd
Suite 101
Chesterfield, MO 63005-1364

Mailing address

17300 N Outer 40 Rd
Suite 101
Chesterfield, MO 63005-1364
Phone (573) 442-1886

National Provider Directory

National Provider Directory

Locations

4809 E 89th St
Ste 100
Tulsa, OK 74137
Phone (918) 615-8484

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1487076485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 N OUTER 40 RD",
            "address_2": "SUITE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051364",
            "telephone_number": "573-442-1886",
            "fax_number": "573-442-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 N OUTER 40 RD",
            "address_2": "SUITE 101",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051364",
            "telephone_number": "573-442-1886",
            "fax_number": "573-442-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI CENTER FOR REPRODUCTIVE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "573-442-1886"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.