Gynecologic & Reconstructive Surgery, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

112659 Issued in MO

Legal business name

GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD

Practice address

621 S New Ballas Rd
Suite 2002 B
Saint Louis, MO 63141-8232

Phone

(314) 251-6753

Fax

(314) 251-4492

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dionysios K Veronikis, MDNPI 1629047626

Title

Owner

Phone

(314) 251-6753

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dionysios K Veronikis, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Saint Louis, MO
  • NPI 1629047626
  Medicare reassignment NPD Authorized official
• Courtney E Turnbough, MSN, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Saint Louis, MO
  • NPI 1801305677
  Medicare reassignment NPD
• Sara Christine Wood, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Saint Louis, MO
  • NPI 1619177680
  Medicare reassignment NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1891822326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 2002 B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6753",
            "fax_number": "314-251-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 2002 B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-251-6753",
            "fax_number": "314-251-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC & RECONSTRUCTIVE SURGERY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "VERONIKIS",
        "authorized_official_first_name": "DIONYSIOS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-251-6753",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "112659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "4319760",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osler Jay Justo Guzon, MD
• Lindsay D Gwaltney, FNP
• Gwent LLC
• Carol C Gwin, AGNP
• Chandra Prakash Gyawali, MD
• Gynecologic Oncology Specialists
• Patricia Marie Gyr, R.N., C.P.N.P.
• H L S Medical LLC
• H&H Health Associates, Inc.
• H&W Medical Acupuncture

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; 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.

Verify at the official NPI Registry.