MIDWEST UROGYNECOLOGY, LLC (NPI# 1003280652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003280652 |
| Entity Type | Organization |
| Organization Name | MIDWEST UROGYNECOLOGY, LLC |
| Practice Address |
2325 Dougherty Ferry Rd Suite 206 Saint Louis MO 63122-3356 |
| Practice Telephone | 3145969955 |
| Practice Fax Number | 3145969530 |
| Mailing Telephone | 3145969955 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | JOHN P JUDD (MANAGING MEMBER) |
| Authorized Official Telephone | 3145969955 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
2011012595 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376932244 | Midwest Urogynecology, LLC | Obstetrics & Gynecology | 12 Carter Ct, Olivette, MO 63132-2002 | 2015-01-15 |
| 1952775751 | Midwest Urogynecology, LLC | Obstetrics & Gynecology | 2325 Dougherty Ferry Rd Ste 206, Saint Louis, MO 63122-3356 | 2015-11-18 |
| Street Address |
2325 DOUGHERTY FERRY RD SUITE 206 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63122-3356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440042 | Oliver A Mckee | Dermatology | 2325 Dougherty Ferry Rd, Ste 201, Saint Louis, MO 63122-3356 | 2005-07-07 |
| 1053845909 | Rebecca Ella Seabaugh | Nurse Practitioner | 2325 Dougherty Ferry Rd, Saint Louis, MO 63122-3356 | 2017-04-18 |
| 1700275286 | Eric Sincoff LLC | Neurological Surgery | 2325 Dougherty Ferry Rd, Saint Louis, MO 63122-3356 | 2015-01-21 |
| 1588088009 | Loren Suzanne Vandergriff | Clinical Nurse Specialist | 2325 Dougherty Ferry Rd, Suite 100, Saint Louis, MO 63122-3356 | 2014-02-05 |
| 1184900409 | University Hematology Oncology Inc | Specialist | 2325 Dougherty Ferry Rd, Suite 204, Saint Louis, MO 63122-3356 | 2011-11-01 |
| 1376848481 | Laboratory Corporation of America | Clinical Medical Laboratory | 2325 Dougherty Ferry Rd, Map1 Suite 103, Saint Louis, MO 63122-3356 | 2011-01-20 |
| 1740435304 | Des Peres Family Medicine PC | Family Medicine | 2325 Dougherty Ferry Rd, Suite 104, Saint Louis, MO 63122-3356 | 2008-11-24 |
| 1174728893 | Robert Anthony Armbruster | Internal Medicine | 2325 Dougherty Ferry Rd, Suite 200, Saint Louis, MO 63122-3356 | 2007-06-21 |
| 1477758241 | Heart Care Consultants, LLC | Internal Medicine | 2325 Dougherty Ferry Rd, Suite 203, Saint Louis, MO 63122-3356 | 2007-06-20 |
| 1710106786 | Naseem A Shekhani Md PC | Physical Medicine & Rehabilitation | 2325 Dougherty Ferry Rd, Suite 203, Saint Louis, MO 63122-3356 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659933174 | Keela Rushing | Physical Therapist | 439 S Kirkwood Rd Ste 200, Kirkwood, MO 63122 | 2019-07-04 |
| 1730643461 | Kirkwood Family Dental | Dentist | 333 S Kirkwood Road, Suite 105, Kirkwood, MO 63122 | 2019-01-28 |
| 1477061166 | Total Access Urgent Care, PC | Clinic/Center | 2980 Dougherty Ferry Rd, Saint Louis, MO 63122 | 2018-01-16 |
| 1760933469 | Missouri Cvs Pharmacy, L.l.c | Durable Medical Equipment & Medical Supplies | 10820 Manchester Rd, Kirkwood, MO 63122 | 2016-10-18 |
| 1518321041 | M. Kathleen Blanchard | Counselor | 11042 Manchester Rd., Kirkwood, MO 63122 | 2016-04-11 |
| 1265801914 | Kim Grega | Counselor | 700 S Kirkwood Rd, Kirkwood, MO 63122 | 2015-09-23 |
| 1245617943 | Mark Edward Taylor | Dentist | 610 North Geyer, Kirkwood, MO 63122 | 2015-05-01 |
| 1467843094 | Mary Elizabeth Boomgarden | Physical Therapist | 9645 Big Bend Boulevard, Saint Louis, MO 63122 | 2015-02-18 |
| 1760725717 | Michael Diller Counseling | Counselor | 144 W Madison Avenue, Kirkwood, MO 63122 | 2013-03-28 |
| 1427309954 | Anne Marie Delaplain | Dentist | 725 Laclede Station Road, Webster Groves, MO 63122 | 2012-09-24 |
| Find all providers in zip 63122 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780923490 | Fareesa Khan LLC | Obstetrics & Gynecology | 10004 Kennerly Rd Ste 255a, Saint Louis, MO 63128-2184 | 2013-02-01 |
| 1619177680 | Sara C Wood | Obstetrics & Gynecology | 621 S New Ballas Rd, Suite 2002b, Saint Louis, MO 63141 | 2007-07-18 |
| 1629047626 | Dionysios K Veronikis | Obstetrics & Gynecology | 621 S New Ballas Rd, Suite 2002 Tower B, Saint Louis, MO 63141-8232 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192239 | Curators of The University of Missouri | Obstetrics & Gynecology | 4040 Range Line St Ste 100, Columbia, MO 65202-1605 | 2018-11-07 |
| 1376932244 | Midwest Urogynecology, LLC | Obstetrics & Gynecology | 12 Carter Ct, Olivette, MO 63132-2002 | 2015-01-15 |
| City | SAINT LOUIS |
| Zip Code | 63122 |
Please comment or provide details below to improve the information on MIDWEST UROGYNECOLOGY, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.