Individual provider Active NPI

Natalie Wong Calhoon, M.D.

  • Anesthesiology Physician
  • St Louis, MO
National Provider Identifier
1487650768
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
R1G98 Issued in MO
Practice address
615 S New Ballas Rd
Labor and Delivery
St Louis, MO 63141
Phone
(314) 469-6800
NPI assigned
Jun 22, 2005
Reactivated
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X R1G98 MO Primary

Addresses

Primary practice location

615 S New Ballas Rd
Labor and Delivery
St Louis, MO 63141

Mailing address

1066 Executive Parkway Dr
Suite 205
Saint Louis, MO 63141-6340
Phone (314) 469-6800

Other identifiers 2

IdentifierTypeStateIssuer
1492OtherMOBCBS
202664710MedicaidMO

Other names 1

  • Mrs. Genevieve Natalie Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727001588 MO Practitioner - Anesthesiology 7113320268 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Anesthesiology Associates IncGroup PAC ID 6204720667, 251 clinicians

Practice addresses (Care Compare)

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-4687

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R1G98MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SW Anesthesia LLC Anesthesiology CurrentSince Dec 23, 2023 Accepting new patients
Ambulatory Anesthesia Services of St. Charles, LLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Eye Anesthesia LLC Anesthesiology CurrentSince Oct 21, 2023 Accepting new patients
Gateway Anesthesia Group LLC Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Premier Anesthesia LLC Anesthesiology CurrentSince Oct 25, 2021 Accepting new patients
Western Anesthesiology Associates, Inc. Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Obstetrical Anesthesia Associates Inc. Anesthesiology Past Accepting new patients

Locations

339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222

14825 North Outer 40 Rd
Ste 100
Chesterfield, MO 63017
Phone (636) 898-4695

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200

760 Office Pkwy
Ste 100
Saint Louis, MO 63141
Phone (314) 200-1462

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10296 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 543-5970

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

4203 S Cloverleaf Dr
Saint Peters, MO 63376
Phone (636) 346-6051

1130 Town and Country Commons Dr
Twn and Cntry, MO 63017
Phone (636) 256-0320

901 Patients First Dr
Ste 108
Washington, MO 63090
Phone (636) 390-1715

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 7

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1487650768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 EXECUTIVE PARKWAY DR",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416340",
            "telephone_number": "314-469-6800",
            "fax_number": "314-469-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 S NEW BALLAS RD",
            "address_2": "LABOR AND DELIVERY",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-469-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOON",
        "first_name": "NATALIE",
        "middle_name": "WONG",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "deactivation_date": "2005-08-10",
        "reactivation_date": "2007-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "R1G98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1492",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202664710",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "WONG",
            "middle_name": "NATALIE",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Louis, MO

Sources for this page

Verify at the official NPI Registry.