Active NPI
Tara Nicole Banaszek Daming, M.D.
- Maternal & Fetal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- 2016016743
- Practice address
- 621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265 - Phone
- (314) 991-5000
- NPI assigned
- Mar 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2016016743 | MO | |
| Maternal & Fetal Medicine Physician | 207VM0101X | 2016016743 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Mailing address
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone (314) 991-5000
Other practice location 1
10004 Kennerly Rd Ste 395B
Saint Louis, MO 63128-2190
Phone (314) 991-5000
Other practice location 2
615 S New Ballas Rd Ste 1211
Saint Louis, MO 63141-8221
Phone (314) 991-5000
Other names 1
- Tara Nicole Banaszek
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Baylor College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
621 S New Ballas Rd
2007B
Saint Louis, MO 63141-8265
Phone (314) 951-5000
Hospital & facility affiliations
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Womens Services LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Mercy Clinic Maternal Fetal Medicine LLC | Maternal & Fetal Medicine | Current | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 3015
Saint Louis, MO 63141
Phone (314) 251-2900
10004 Kennerly Rd
Ste 395B
Saint Louis, MO 63128
Phone (314) 849-3500
621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000
621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
615 S New Ballas Rd
Ste 1211
Saint Louis, MO 63141
Phone (314) 991-5000
621 S New Ballas Rd
Ste 2009B
Saint Louis, MO 63141
Phone (314) 251-6062
Interoperability endpoints
- tdaming1032926@directc.mercy.net
Organizations & group practices 4
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.
-
- Maternal & Fetal Medicine Physician
- Saint Louis, MO
- NPI 1952810129
-
- Clinic/Center
- Saint Louis, MO
- NPI 1851431738
-
- Obstetrics & Gynecology Physician
- Saint Louis, MO
- NPI 1629327788
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1750656955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 2007B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418265",
"telephone_number": "314-991-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 2007B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418265",
"telephone_number": "314-991-5000"
}
],
"practiceLocations": [
{
"address_1": "10004 Kennerly Rd Ste 395B",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282190",
"country_code": "US",
"telephone_number": "314-991-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 S New Ballas Rd Ste 1211",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-991-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAMING",
"first_name": "TARA",
"middle_name": "NICOLE BANASZEK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-20",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2016016743",
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "MO",
"license": "2016016743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "BANASZEK",
"middle_name": "NICOLE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.