NPIMap

Organization Active NPI

Infertility & Gynecologic Medicine

  • Specialist
  • Saint Louis, MO
National Provider Identifier
1811217094
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R3407 Issued in MO
Legal business name
INFERTILITY & GYNECOLOGIC MEDICINE
Practice address
3009 N Ballas Rd
Suite 359C
Saint Louis, MO 63131-2322
Phone
(314) 872-9200
Fax
(314) 872-9040
NPI assigned
Jun 10, 2010
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Ronald Peter Wilbois, M.D.
Title
President & Medical Director
Phone
(314) 872-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X R3407 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd
Suite 359C
Saint Louis, MO 63131-2322

Mailing address

3009 N Ballas Rd
Suite 359C
Saint Louis, MO 63131-2322
Phone (314) 872-9200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1811217094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 359C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-872-9200",
            "fax_number": "314-872-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD",
            "address_2": "SUITE 359C",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312322",
            "telephone_number": "314-872-9200",
            "fax_number": "314-872-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFERTILITY & GYNECOLOGIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "WILBOIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT & MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-872-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 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.