Active NPI
Planned Parenthood Great Rivers-Illinois
- Obstetrics & Gynecology Physician
- Fairview Heights, IL
National Provider Identifier
1861252041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PLANNED PARENTHOOD GREAT RIVERS-ILLINOIS
- Practice address
- 317 Salem PL
Fairview Heights, IL 62208-1367 - Phone
- (314) 531-7526
- NPI assigned
- Mar 22, 2024
- 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
- Mr. Thomas James Wohlfeil
- Title
- Controller
- Phone
- (314) 482-0097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 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
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 |
|---|---|---|---|
| 14D2331325 | Planned Parenthood Great Rivers | Registration | Sep 29, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1861252041",
"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"
},
{
"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": "314-531-7526"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANNED PARENTHOOD GREAT RIVERS-ILLINOIS",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-22",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "WOHLFEIL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "314-482-0097",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.