Active NPI
Planned Parenthood of the St. Louis Region and Southwest Missouri
- Non-Surgical Family Planning Clinic/Center
- Fairview Heights, IL
National Provider Identifier
1770904054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Surgical Family Planning Clinic/Center
- Legal business name
- PLANNED PARENTHOOD OF THE ST. LOUIS REGION AND SOUTHWEST MISSOURI
- Practice address
- 317 Salem PL
Fairview Heights, IL 62208-1367 - Phone
- (618) 277-6668
- Fax
- (618) 234-5230
- NPI assigned
- Jan 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas James Wohlfeil
- Title
- Director of Accounting
- Phone
- (314) 482-0097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | Primary |
Addresses
Primary practice location
317 Salem PL
Fairview Heights, IL 62208-1367
Mailing address
4251 Forest Park Ave
Saint Louis, MO 63108-2810
Phone (314) 531-7526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Non-Surgical Family Planning Clinic/Center
- Saint Louis, MO
- NPI 1205898574
O20111221000289
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2167607 | Planned Parenthood of the St Louis Region | Provider-performed microscopy | Jun 10, 2027 |
| 14D2279693 | Planned Parenthood of the St Louis Region | Provider-performed microscopy | Apr 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
4529 N Illinois St
Swansea, IL 62226
Phone (618) 277-6668
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Swansea, IL
- NPI 1376645986
-
- Advanced Practice Midwife
- Fairview Heights, IL
- NPI 1326818139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662076800000",
"number": "1770904054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 FOREST PARK AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082810",
"telephone_number": "314-531-7526",
"fax_number": "314-531-3190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 SALEM PL",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622081367",
"telephone_number": "618-277-6668",
"fax_number": "618-234-5230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANNED PARENTHOOD OF THE ST. LOUIS REGION AND SOUTHWEST MISSOURI",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-03",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A",
"authorized_official_last_name": "WOHLFEIL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DIRECTOR OF ACCOUNTING",
"authorized_official_telephone_number": "314-482-0097"
},
"taxonomies": [
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
- Ronald Gene Peterson Jr., D.C.
- Isabella Pfeiffer
- Madison Phillips
- Ronald Pizzo, O.D.
- Planned Parenthood Great Rivers-Illinois
- Pontiac-WM Holliday SD 105
- Kristine Potter, SLP
- Emily K Powers, PHARM. D.
- Prairie State Anesthesia Associates, PLLC
- Preferred Behavioral Health Mso, Inc. (Preferred Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.