Individual provider Active NPI

Margaret Sopuch Marcrander, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1972555332
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
112886 Issued in MO
Practice address
621 S New Ballas Rd Ste 1015B
Saint Louis, MO 63141-8203
Phone
(314) 251-8965
Fax
(314) 251-8966
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 112886 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 1015B
Saint Louis, MO 63141-8203

Mailing address

621 S New Ballas Rd Ste 1015B
Saint Louis, MO 63141-8203
Phone (314) 251-8965

Other practice location 1

9180 W Florissant Ave
Saint Louis, MO 63136-1421
Phone (314) 372-3420

Other identifiers 1

IdentifierTypeStateIssuer
10961846OtherMOCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000145 MO Practitioner - Obstetrics/Gynecology 0345348637 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 1017B
Saint Louis, MO 63141-8264
Phone (314) 292-7080

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
112886MOMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Jan 1, 2013 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jan 1, 2013 Accepting new patients
Mercy Womens Services LLC Obstetrics & Gynecology CurrentSince Feb 9, 2013 Accepting new patients
Southeast Missouri Hospital Physicians, LLC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Sep 8, 2022 Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince May 1, 2008 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822

621 S New Ballas Rd
Ste 1015B
Saint Louis, MO 63141
Phone (314) 251-4652

621 S New Ballas Rd
Ste 2009B
Saint Louis, MO 63141
Phone (314) 251-6062

621 S New Ballas Rd
Ste 1017B
Saint Louis, MO 63141
Phone (314) 292-7080

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

9180 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 364-3662

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

Interoperability endpoints

  • Direct secure messaging: mmarcrander2070@directc.mercy.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1972555332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 1015B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418203",
            "telephone_number": "314-251-8965",
            "fax_number": "314-251-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 1015B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418203",
            "telephone_number": "314-251-8965",
            "fax_number": "314-251-8966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9180 W Florissant Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631361421",
            "country_code": "US",
            "telephone_number": "314-372-3420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCRANDER",
        "first_name": "MARGARET",
        "middle_name": "SOPUCH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "112886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10961846",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.