DR. CAROLYN K MCCOURT (NPI# 1023108966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023108966 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN K MCCOURT |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Ste 13c Ste 13c Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8064 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143623181 |
| Practice Fax Number | 3143622893 |
| Mailing Telephone | 3143623181 |
| Mailing Fax Number | 3143622893 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
2014015791 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 |
| Street Address |
4921 PARKVIEW PL STE 13C STE 13C |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366423360 | Leslie S Massad | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2005-11-08 |
| 1619105202 | Lindsay M Kuroki | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2009-06-23 |
| 1740462316 | Katherine Cynthia Fuh | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2007-12-05 |
| 1285790337 | Andrea Ruth Hagemann | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2006-12-30 |
| 1518985217 | David G Mutch | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Saint Louis, MO 63110-1032 | 2006-07-18 |
| 1609894187 | Matthew A Powell | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2006-07-17 |
| 1891739173 | Premal Harish Thaker | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2006-06-16 |
| 1417907742 | Kim Alan Carmichael | Internal Medicine | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255395687 | Alaa A Elbendary | Obstetrics & Gynecology | 11652 Studt Ave, Saint Louis, MO 63141-7025 | 2006-04-13 |
| 1154393411 | Dan-arin Silasi | Obstetrics & Gynecology | 607 S New Ballas Rd Ste 2350, Saint Louis, MO 63141-0001 | 2006-02-02 |
| 1366423360 | Leslie S Massad | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2005-11-08 |
| 1104813633 | Nishan Chobanian Jr. | Obstetrics & Gynecology | 607 S New Ballas Rd, Saint Louis, MO 63141-8222 | 2005-09-30 |
| 1386079481 | Melissa Schwartz | Obstetrics & Gynecology | 1031 Bellevue Ave Ste 400, Saint Louis, MO 63117-1858 | 2013-09-08 |
| 1740462316 | Katherine Cynthia Fuh | Obstetrics & Gynecology | 4921 Parkview Pl Ste 13c, Ste 13c, Saint Louis, MO 63110-1032 | 2007-12-05 |
| 1669671541 | Mercy Clinic Gyn Oncology, LLC | Obstetrics & Gynecology | 607 S New Ballas Rd, Suite 2350, Saint Louis, MO 63141-8219 | 2007-07-12 |
| 1619195922 | St Louis University | Obstetrics & Gynecology | 1031 Bellevue Ave, Saint Louis, MO 63117-1818 | 2007-04-23 |
| 1699818658 | Chotchai Srisuro | Obstetrics & Gynecology | 533 Couch Ave, Suite 287, Saint Louis, MO 63122-5561 | 2007-02-15 |
| 1578645263 | Women's Oncology Care, Inc. | Obstetrics & Gynecology | 12855 N 40 Dr, Ste 325 North Tower, Saint Louis, MO 63141-8657 | 2006-10-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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| 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.