Organization Active NPI

Stork Obstetrics & Gynecology Inc

  • Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1922010826
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
STORK OBSTETRICS & GYNECOLOGY INC
Practice address
10004 Kennerly Rd
Suite 230a
Saint Louis, MO 63128-2141
Phone
(314) 555-4100
Fax
(314) 525-4891
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Frank T Patrick, M.D.
Title
President
Phone
(314) 525-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

10004 Kennerly Rd
Suite 230a
Saint Louis, MO 63128-2141

Mailing address

PO Box 771244
Saint Louis, MO 63177-2244
Phone (314) 555-4100

Other identifiers 1

IdentifierTypeStateIssuer
DG0719OtherMOMEDICARE RAILROAD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1922010826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771244",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631772244",
            "telephone_number": "314-555-4100",
            "fax_number": "314-525-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 230A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-555-4100",
            "fax_number": "314-525-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORK OBSTETRICS & GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-525-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG0719",
            "state": "MO"
        }
    ],
    "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 Jan 23, 2008; 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.