Ivy St Louis PC

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

IVY ST LOUIS PC

Practice address

347 N Lindbergh Blvd
Creve Coeur, MO 63141-7811

Phone

(858) 925-5330

NPI assigned

Aug 18, 2026

Organization subpart

No

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

Authorized official

Name

Kevin Cirillo

Title

Chief Financial Officer

Phone

(858) 925-5330

Specialties & licenses 1

Addresses

Other names 1

• Sage Reproductive Center - St. Louis Other name

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1679488027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CENTRAL ST STE 79445",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N LINDBERGH BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417811",
            "telephone_number": "858-925-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Bronze Pointe S",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622268307",
            "country_code": "US",
            "telephone_number": "858-925-5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IVY ST LOUIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CIRILLO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "858-925-5330"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Reproductive Center - St. Louis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Denise Ipock, PHARM.D.
• Ahmad Hassan Irshad, MD
• Kaitlin Isbell
• Donald Edward Isselhard, DDS
• Michael Isserman, M.D.
• Ivy St Louis SC LLC
• J Boatman LLC
• Vatel Arre Jackson
• Vicky Lynn Jackson, RN, NNP-BC
• Brenton Jamison

• Reproductive Endocrinology Physician in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Reproductive Endocrinology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.