Washington University, Department Of Ob/gyn | |
660 S Euclid Ave Saint Louis MO 63110-1010 | |
(314) 362-4964 | |
(314) 747-4871 |
Full Name | Washington University, Department Of Ob/gyn |
---|---|
Speciality | Clinic/Center |
Location | 660 S Euclid Ave, Saint Louis, Missouri |
Authorized Official Name and Position | Cathy L Eghigian (DIRECTOR, CREDENTIALING OPERATIONS) |
Authorized Official Contact | 3149350770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Washington University, Department Of Ob/gyn 7425 Forsyth Blvd Campus Box 8221 Saint Louis MO 63105-2171 Ph: (314) 935-0770 | Washington University, Department Of Ob/gyn 660 S Euclid Ave Saint Louis MO 63110-1010 Ph: (314) 362-4964 |
NPI Number | 1760422265 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 12/06/2007 |
Medicare PECOS PAC ID | 9830008770 |
---|---|
Medicare Enrollment ID | O20040812001332 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760422265 | NPI | - | NPPES |
3690 | Other | MO | GHP MASTER VENDOR NUMBER |
610916400 | Other | MO | DEPARTMENT OF LABOR |
108RP4 | Other | MO | BLUE SHIELD |
98215253 | Other | IL | BLUE SHIELD |
0255860009 | Other | MO | DME MEDICARE GROUP |
673341 | Other | MO | AETNA HMO GROUP |
552914905 | Medicaid | MO | |
552914905 | Other | MO | MEDICAID PHARMACY NUMBER |
07-01999 | Other | MO | UHC GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Roxane M Rampersad |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104031822 PECOS PAC ID: 5991690117 Enrollment ID: I20040217000882 |
Provider Name | Rebecca P Mcalister |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649296864 PECOS PAC ID: 8426028911 Enrollment ID: I20040730000732 |
Provider Name | Denise M Willers |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447278163 PECOS PAC ID: 4082685763 Enrollment ID: I20040805000001 |
Provider Name | Sarah L Keller |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1235160748 PECOS PAC ID: 8325004658 Enrollment ID: I20041208000176 |
Provider Name | Anthony Omavuaye Odibo |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1700889516 PECOS PAC ID: 9436199395 Enrollment ID: I20060213000081 |
Provider Name | Premal H Thaker |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1891739173 PECOS PAC ID: 9133102486 Enrollment ID: I20070111000322 |
Provider Name | Leslie Stewart Massad |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1366423360 PECOS PAC ID: 5294822789 Enrollment ID: I20071031000081 |
Provider Name | Tammy L Sonn |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841359049 PECOS PAC ID: 6709953755 Enrollment ID: I20080917000648 |
Provider Name | David L Eisenberg |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033304415 PECOS PAC ID: 1456445550 Enrollment ID: I20090611000336 |
Provider Name | Diane Merritt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437172459 PECOS PAC ID: 6406983634 Enrollment ID: I20100420000929 |
Provider Name | Matthew A Powell |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1609894187 PECOS PAC ID: 0840328985 Enrollment ID: I20100511000063 |
Provider Name | Diana L Gray |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1447278916 PECOS PAC ID: 6305979477 Enrollment ID: I20100727000688 |
Provider Name | Donald M Nelson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1962420463 PECOS PAC ID: 1456485234 Enrollment ID: I20100816000477 |
Provider Name | Valerie S Ratts |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942226170 PECOS PAC ID: 9739213463 Enrollment ID: I20100817001379 |
Provider Name | Jeffrey M Dicke |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982622437 PECOS PAC ID: 0244364883 Enrollment ID: I20100817001612 |
Provider Name | Stacy M Selbert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043492937 PECOS PAC ID: 3375732209 Enrollment ID: I20110107000771 |
Provider Name | Andrea R Hagemann |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1285790337 PECOS PAC ID: 8921276668 Enrollment ID: I20110722000508 |
Provider Name | Colleen P Mcnicholas |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1962664730 PECOS PAC ID: 8527237197 Enrollment ID: I20110816000777 |
Provider Name | Sara C Wood |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619177680 PECOS PAC ID: 8224208855 Enrollment ID: I20110908002128 |
Provider Name | Sherri Lynne Jackson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578590642 PECOS PAC ID: 3072784164 Enrollment ID: I20110921000604 |
Provider Name | Holly R Hoefgen |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649432162 PECOS PAC ID: 3971767070 Enrollment ID: I20120620000493 |
Provider Name | Camaryn Chrisman Robbins |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306962618 PECOS PAC ID: 3870666902 Enrollment ID: I20120924000121 |
Provider Name | Kenisha Bryant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811295850 PECOS PAC ID: 6709035611 Enrollment ID: I20121010000214 |
Provider Name | Susan E Mitchell-derenski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629329578 PECOS PAC ID: 1850542168 Enrollment ID: I20121114000589 |
Provider Name | Kenan R Omurtag |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1477738136 PECOS PAC ID: 1456503051 Enrollment ID: I20121205000485 |
Provider Name | Kelly L Ball |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619221819 PECOS PAC ID: 3375798309 Enrollment ID: I20130225000056 |
Provider Name | Michelle M Koester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881962843 PECOS PAC ID: 2567607641 Enrollment ID: I20130320000191 |
Provider Name | Chiara Giovanna Iris Ghetti |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215900212 PECOS PAC ID: 4082688668 Enrollment ID: I20140217001005 |
Provider Name | Jerry L Lowder |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1619941879 PECOS PAC ID: 1254370844 Enrollment ID: I20140224000140 |
Provider Name | Molly Stout |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1881867588 PECOS PAC ID: 8729201751 Enrollment ID: I20140521000095 |
Provider Name | Carolyn K Mccourt |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1023108966 PECOS PAC ID: 3577630094 Enrollment ID: I20140619002230 |
Provider Name | Cory Scott Miller |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578875647 PECOS PAC ID: 1951535830 Enrollment ID: I20140814001960 |
Provider Name | Casey M Spiegel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750703344 PECOS PAC ID: 4183845415 Enrollment ID: I20141029001903 |
Provider Name | Taryn G Sandheinrich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962809913 PECOS PAC ID: 0547587230 Enrollment ID: I20150317001527 |
Provider Name | Melissa B Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497027247 PECOS PAC ID: 0648597765 Enrollment ID: I20150327002448 |
Provider Name | Shelby Marie Dickison |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598050643 PECOS PAC ID: 6103055702 Enrollment ID: I20150720001385 |
Provider Name | Lindsay M Kuroki |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1619105202 PECOS PAC ID: 1355649823 Enrollment ID: I20160415002124 |
Provider Name | Monica Y Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922030865 PECOS PAC ID: 3274822507 Enrollment ID: I20160510001060 |
Provider Name | Laura James Nywening |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1346502234 PECOS PAC ID: 8527359736 Enrollment ID: I20160620000347 |
Provider Name | Stephanie M Tsai |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487917944 PECOS PAC ID: 8022300730 Enrollment ID: I20160715001119 |
Provider Name | Jeannie C Kelly |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1730316761 PECOS PAC ID: 0749420495 Enrollment ID: I20160727000172 |
Provider Name | Nancy B Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699134346 PECOS PAC ID: 8921391970 Enrollment ID: I20160728000065 |
Provider Name | Sharman M Russell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1780909705 PECOS PAC ID: 6002130465 Enrollment ID: I20160809001570 |
Provider Name | Christine Mirng-en Chu |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1043522410 PECOS PAC ID: 9638463557 Enrollment ID: I20160815002534 |
Provider Name | Michael Bebbington |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1033292750 PECOS PAC ID: 6204825722 Enrollment ID: I20160926001619 |
Provider Name | Bindu Naran Patel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1639518913 PECOS PAC ID: 0446528533 Enrollment ID: I20170614000040 |
Provider Name | Katherine Mae Massa |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1205272341 PECOS PAC ID: 3375846140 Enrollment ID: I20170621001666 |
Provider Name | Patricia T Jimenez |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1003019217 PECOS PAC ID: 3375709231 Enrollment ID: I20170720000671 |
Provider Name | Danielle N Turnbull |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346751997 PECOS PAC ID: 5799043857 Enrollment ID: I20171218003226 |
Provider Name | Megan Leigh Lawlor |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1295140960 PECOS PAC ID: 6608131958 Enrollment ID: I20180607001821 |
Provider Name | Nandini Raghuraman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1689969743 PECOS PAC ID: 0345567947 Enrollment ID: I20180710000555 |
Provider Name | Ashley E Veade |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992124218 PECOS PAC ID: 2264781244 Enrollment ID: I20180824000446 |
Provider Name | Mary Margaret Mullen |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1437563897 PECOS PAC ID: 3173873635 Enrollment ID: I20180904000706 |
Provider Name | Dineo Khabele |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1477532240 PECOS PAC ID: 3678537875 Enrollment ID: I20190325000178 |
Provider Name | Elana Tal |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992183925 PECOS PAC ID: 8325374895 Enrollment ID: I20190723000812 |
Provider Name | Elise C Bardawil |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578805826 PECOS PAC ID: 5193020832 Enrollment ID: I20191017000087 |
Provider Name | Michael Mckinley Dombrowski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1841585809 PECOS PAC ID: 6709192198 Enrollment ID: I20191024001270 |
Provider Name | Joshua Isaac Rosenbloom |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1831464254 PECOS PAC ID: 9931408127 Enrollment ID: I20200115002883 |
Provider Name | Whitney Trotter Ross |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144634502 PECOS PAC ID: 6901027952 Enrollment ID: I20200820001643 |
Provider Name | Antonina Ilyinishna Frolova |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386083194 PECOS PAC ID: 9931338175 Enrollment ID: I20200925000381 |
Provider Name | Wogene Amsalu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184091431 PECOS PAC ID: 7113331794 Enrollment ID: I20210121001849 |
Provider Name | Kelsey Lauren Anderson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598118218 PECOS PAC ID: 6608299623 Enrollment ID: I20210609002893 |
Provider Name | Emily E Spurlin |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184158024 PECOS PAC ID: 9739425448 Enrollment ID: I20210610002690 |
Provider Name | Emily Barker |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194255075 PECOS PAC ID: 6507136348 Enrollment ID: I20210618001805 |
Provider Name | Anna K Geiger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083156046 PECOS PAC ID: 4688950140 Enrollment ID: I20210628003302 |
Provider Name | Kathryn Drennan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760066112 PECOS PAC ID: 7315349842 Enrollment ID: I20210707001095 |
Provider Name | Julie A Hake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730760737 PECOS PAC ID: 1052713500 Enrollment ID: I20210707001471 |
Provider Name | Bree A Goodman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942733290 PECOS PAC ID: 2365844586 Enrollment ID: I20210712000814 |
Provider Name | Sydney M Thayer |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1427581768 PECOS PAC ID: 0648544890 Enrollment ID: I20210723001509 |
Provider Name | Whitney L Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457928368 PECOS PAC ID: 2163826694 Enrollment ID: I20210805002839 |
Provider Name | Jennifer Ann Reeves |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306289640 PECOS PAC ID: 4082918719 Enrollment ID: I20210907002818 |
Provider Name | Amanda Christine Zofkie |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386063493 PECOS PAC ID: 0648535567 Enrollment ID: I20210907002907 |
Provider Name | Katherine M De Souza |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659614394 PECOS PAC ID: 3375848799 Enrollment ID: I20210908000383 |
Provider Name | Cassandra J Trammel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922504760 PECOS PAC ID: 9436401098 Enrollment ID: I20220526000320 |
Provider Name | Jayme Erika Trevino |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1093209082 PECOS PAC ID: 7911254859 Enrollment ID: I20220526002549 |
Provider Name | Suzanne L O'nan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1982138566 PECOS PAC ID: 4284983677 Enrollment ID: I20220527000207 |
Provider Name | Courtney A Murphy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740767383 PECOS PAC ID: 2062890619 Enrollment ID: I20220609002494 |
Provider Name | Julia Ellen Burd |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053818260 PECOS PAC ID: 2163777004 Enrollment ID: I20220627001669 |
Provider Name | Bridget C Huysman |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1487147948 PECOS PAC ID: 4587043252 Enrollment ID: I20220627001889 |
Provider Name | Katherine Bligard |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1053792325 PECOS PAC ID: 5294049276 Enrollment ID: I20220712002519 |
Provider Name | Jennifer Alice Mitchell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1861986218 PECOS PAC ID: 7416203039 Enrollment ID: I20220817001463 |
Provider Name | Dan Israel Lebovic |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1194818245 PECOS PAC ID: 3678641065 Enrollment ID: I20220825003580 |
Provider Name | Makeba Williams |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538379300 PECOS PAC ID: 3173694916 Enrollment ID: I20220906000128 |
Provider Name | Maggie Lee Dwiggins |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306287388 PECOS PAC ID: 4880915875 Enrollment ID: I20221219002337 |
Provider Name | Ashleigh E Hunkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902561251 PECOS PAC ID: 8527431824 Enrollment ID: I20230308000636 |
Provider Name | Jayne Marie Mangi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396409983 PECOS PAC ID: 9234522293 Enrollment ID: I20230313000300 |
Provider Name | Drew M Hensel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538729298 PECOS PAC ID: 1254667470 Enrollment ID: I20230511002316 |
Provider Name | Julia D.e. Whitley |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508329384 PECOS PAC ID: 7012373376 Enrollment ID: I20230512000106 |
Provider Name | Alison G Kosmacki |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1215597778 PECOS PAC ID: 4880920008 Enrollment ID: I20230613002519 |
Provider Name | Ishana P Shetty |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306409248 PECOS PAC ID: 1850623315 Enrollment ID: I20230615002590 |
Provider Name | Hunter L Terry |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1154884294 PECOS PAC ID: 4082942693 Enrollment ID: I20230616000910 |
Provider Name | Brooke E Sanders |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1265896336 PECOS PAC ID: 6608298799 Enrollment ID: I20230724001141 |
Provider Name | Lauren E Holroyd |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1922668607 PECOS PAC ID: 5597197723 Enrollment ID: I20230724001336 |
Provider Name | Aileen Portugal |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821559113 PECOS PAC ID: 6002215340 Enrollment ID: I20230726001792 |
Provider Name | Aneesh Surya Chawla |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1386205318 PECOS PAC ID: 0345574885 Enrollment ID: I20230804003322 |
Provider Name | Victoria C Whelan |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1164982955 PECOS PAC ID: 7618201864 Enrollment ID: I20230831001474 |
St. Louis Center For Preventive And Longevity Medicine, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 777 S New Ballas Rd, Suite 200 E, Saint Louis, MO 63141 Phone: 314-994-1536 Fax: 314-692-0241 | |
Town And Country Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3009 N Ballas Rd, Suite 300a, Saint Louis, MO 63131 Phone: 314-872-8999 | |
Family Care Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lynch St, Saint Louis, MO 63118 Phone: 314-531-5444 Fax: 314-531-0063 | |
Wusm Bjc Aco Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 660 S Euclid Ave, Campus Box 8081, Saint Louis, MO 63110 Phone: 314-273-0770 | |
Victus Physician Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12607 Olive Blvd, Saint Louis, MO 63141 Phone: 314-327-8070 | |
Salvation Army Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2900 Washington Ave, Saint Louis, MO 63103 Phone: 314-898-1700 Fax: 314-814-8542 | |
Dtg Ii Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Tesson Ct, Saint Louis, MO 63123 Phone: 800-268-7713 Fax: 415-704-3294 |