Active NPI
St Louis Vasectomy, LLC
- Urology Physician
- Saint Louis, MO
National Provider Identifier
1972102143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ST LOUIS VASECTOMY, LLC
- Practice address
- 10345 Watson Rd
Saint Louis, MO 63127-1105 - Phone
- (732) 598-1563
- NPI assigned
- Oct 20, 2020
- Last updated
- Oct 20, 2020
- 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
- Marybeth Dunn
- Title
- Manager
- Phone
- (732) 598-1563
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
10345 Watson Rd
Saint Louis, MO 63127-1105
Mailing address
525 Rockwood Parc CT
Eureka, MO 63025-1157
Phone (732) 598-1563
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603152000000",
"number": "1972102143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 ROCKWOOD PARC CT",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251157",
"telephone_number": "732-598-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10345 WATSON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271105",
"telephone_number": "732-598-1563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LOUIS VASECTOMY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-20",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A",
"authorized_official_last_name": "DUNN",
"authorized_official_first_name": "MARYBETH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "732-598-1563"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
- St Louis University (Slucare Dept of Pediatric Neurodevelopmental Disabilities)
- St Louis University (Slucare Dept of Dermatology-Mohs Surgery)
- St Louis University (SLUCare Department of Anesthesiology)
- St Louis University (Slucare Dept of Surgery-Vascular Surgery)
- St Louis University (SLUCare Department of Urology Surgery)
- St Lucys Cataract & Laser Center LLC (Galanis Cataract & Laser Eye Center)
- St Lukes Center for Diagnostic Imaging LLC
- St Marie Home Care LLC
- St Mary's Health Center
- Hannah Eileen St Peters
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.