Organization Active NPI

Gynecologic Oncology Specialists

  • Gynecologic Oncology Physician
  • Saint Louis, MO
National Provider Identifier
1932947017
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
GYNECOLOGIC ONCOLOGY SPECIALISTS
Practice address
10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118
Phone
(314) 928-0928
Fax
(888) 440-2472
NPI assigned
Jul 15, 2024
Last updated
Nov 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Dan-Arin Silasi, MDNPI 1154393411
Title
MD
Phone
(203) 508-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 370a
Saint Louis, MO 63128-5118

Mailing address

44 Chesterfield Lakes Rd
Chesterfield, MO 63005-4506
Phone (203) 508-3311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241008003007 MO Part B Supplier - Clinic/Group Practice 8628509197 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Louis, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1932947017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 CHESTERFIELD LAKES RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630054506",
            "telephone_number": "203-508-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 370A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631285118",
            "telephone_number": "314-928-0928",
            "fax_number": "888-440-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC ONCOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "SILASI",
        "authorized_official_first_name": "DAN-ARIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "203-508-3311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "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 Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.