Organization Active NPI

Stephen Yim, MD, LLC

  • Gynecologic Oncology Physician
  • Chesterfield, MO
National Provider Identifier
1669515094
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
STEPHEN YIM, MD, LLC
Practice address
226 S Woods Mill Rd
Ste 55W
Chesterfield, MO 63017-3417
Phone
(314) 469-4440
Fax
(314) 576-2346
NPI assigned
Feb 15, 2007
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LUKE'S MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Rick Sonne
Title
Director
Phone
(314) 576-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X NU Primary

Addresses

Primary practice location

226 S Woods Mill Rd
Ste 55W
Chesterfield, MO 63017-3417

Mailing address

232 S Woods Mill Rd
Chesterfield, MO 63017-3417
Phone (314) 576-2490

Other identifiers 1

IdentifierTypeStateIssuer
D01028OtherMORR MEDICARE

National Provider Directory

National Provider Directory
Part of
St Lukes Medical Group

Locations

226 S Woods Mill Rd
Ste 55W
Chesterfield, MO 63017
Phone (314) 542-4953

232 S Woods Mill Rd
Ste 350
Chesterfield, MO 63017
Phone (314) 469-4440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1669515094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-576-2490",
            "fax_number": "314-576-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S WOODS MILL RD",
            "address_2": "STE 55W",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173417",
            "telephone_number": "314-469-4440",
            "fax_number": "314-576-2346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN YIM, MD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S MEDICAL GROUP",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "SONNE",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-576-2490"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "D01028",
            "state": "MO"
        }
    ],
    "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 Feb 11, 2010; 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.