Anastasios K Dagartzikas

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

2006039219 Issued in MO

Practice address

12902 Tundra CT
Saint Louis, MO 63131-1319

Phone

(314) 432-3659

Fax

(314) 567-6699

NPI assigned

Nov 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of St Louis Division of Fiscal Management

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1972804631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 TUNDRA CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311319",
            "telephone_number": "314-432-3659",
            "fax_number": "314-567-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 TUNDRA CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311319",
            "telephone_number": "314-432-3659",
            "fax_number": "314-567-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGARTZIKAS",
        "first_name": "ANASTASIOS",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2006039219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Dabler
• Markesha Dabney, AGNP
• Tamer A Dabous, M.D.
• Ralph Gerard Dacey Jr., MD
• Joseph Daniel Daesch, PNP
• Niya Daggs
• Mona Dagher, M.D.
• Yesh Debebe Dagne, ACNP
• Sabrina Dahak, MD, MS
• Sonika Madan Singh Dahiya, MD

• Obstetrics & Gynecology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.