NPIMap

Organization Active NPI

St Anthony'S Physician Organization Private Practices LC

  • Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1679735302
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC
Practice address
12700 Southfork Rd
Ste 255
Saint Louis, MO 63128-3201
Phone
(314) 525-1800
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dave Hinkle
Title
Executive Director
Phone
(314) 543-5903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

12700 Southfork Rd
Ste 255
Saint Louis, MO 63128-3201

Mailing address

10012 Kennerly Rd
Ste 403
Saint Louis, MO 63128-2197
Phone (314) 525-1800

Other names 1

  • Urogynecology Consultants Doing business as

National Provider Directory

National Provider Directory

Locations

10012 Kennerly Rd
Ste 403
Saint Louis, MO 63128
Phone (314) 525-1800

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1679735302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD",
            "address_2": "STE 403",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-525-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "address_2": "STE 255",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-525-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONY'S PHYSICIAN ORGANIZATION PRIVATE PRACTICES LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "HINKLE",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-543-5903"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urogynecology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 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.