MARY BRIDGET KEEGAN


Address: 3930 S Broadway, Saint Louis, MO 63118-4626
Phone: 3148981700

MARY BRIDGET KEEGAN (NPI# 1164733515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164733515
Entity Type Individual
Full Name MARY BRIDGET KEEGAN
Credential M.D.
Practice Address 3930 S Broadway
Saint Louis
MO 63118-4626
Mailing Address 1717 Biddle St
Saint Louis
MO 63106-3454
Practice Telephone 3148981700
Practice Fax Number 3148148542
Mailing Telephone 3148981700
Mailing Fax Number 3148148542
Enumeration Date 2010-06-30
Last Update Date 2016-09-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 2010017094 MO Allopathic & Osteopathic Physicians

Other Providers MARY KEEGAN

NPI Name Taxonomy Address Enumeration
1720421829 Mary Keegan Social Worker 340 Montage Mountain Rd, Moosic, PA 18507-1782 2013-04-09
1336157213 Mary J Keegan Registered Nurse 3660 Vista Ave, Saint Louis, MO 63110-2540 2006-08-04
1750380069 Mary Leigh Keegan Obstetrics & Gynecology 1727 Kirby Parkway, Suite 200, Memphis, TN 38120 2005-07-19

Office Location

Street Address 3930 S BROADWAY
City SAINT LOUIS
State MO
Zip Code 63118-4626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669478970 Thomas Patrick Kuciejczyk-kernan Family Medicine 3930 S Broadway, Saint Louis, MO 63118-4626 2005-06-22
1437614823 Kelcey A Depass Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2019-02-10
1679019046 Barbara K Allan Social Worker 3930 S Broadway, Saint Louis, MO 63118-4626 2017-01-10
1598106866 Sarah T Smith Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2013-07-15
1467626556 Labone Inc Clinical Medical Laboratory 3930 S Broadway, Saint Louis, MO 63118 2008-04-18
1972692283 Angela M Schiefelbein Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-12
1528156668 Judith M Gallagher Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-11
1598853699 Rebekah Hassler Nurse Practitioner 3930 S Broadway, Saint Louis, MO 63118-4626 2006-10-11
1598777930 Jocelin N Reatiraza Internal Medicine 3930 S Broadway, Saint Louis, MO 63118-4626 2006-08-13
1013925890 Affinia Healthcare Clinic/Center 3930 S Broadway, Saint Louis, MO 63118-4626 2006-08-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770149023 Clouds of Care In-home Healthcare Services LLC Hospice Care, Community Based 3450 Magnolia Ave, Saint Louis, MO 63118 2019-05-13
1154839488 Serenity Gardens Home Health Services LLC. Home Health 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 2018-01-22
1861917759 Freedom Day Center, LLC Meals 3309 Meramec Street, Saint Louis, MO 63118 2017-08-11
1669901450 Stanley Eziukwu Student in an Organized Health Care Education/Training Program 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 2017-06-06
1467987651 Hinna Shahid Internal Medicine 3545 South Jefferson Ave, St. Louis, MO 63118 2017-04-25
1225436959 Shelley Stretch Counselor 4066 Dunnica Avenue, St. Louis, MO 63118 2014-12-11
1821406174 Preferred Family Healthcare, Inc Substance Abuse Rehabilitation Facility 4066 Dunnica, Saint Louis, MO 63118 2014-07-31
1275898173 Stephanie Lynn Cullinan Optometrist 3122 S Grand, St. Louis, MO 63118 2012-07-07
1174822555 Morgan Patrick Morris Chiropractor 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 2011-03-24
1043481955 Victor Rivera Md LLC Obstetrics & Gynecology 3535 S Jefferson, Suite 106, St Louis, MO 63118 2008-03-19
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568984367 Gsh Lab LLC Obstetrics & Gynecology 621 S New Ballas Rd Ste 1017b, Saint Louis, MO 63141-8264 2017-07-13
1851825715 Sydni Fazenbaker Crowell Obstetrics & Gynecology 621 S New Ballas Rd Ste 2009b, Saint Louis, MO 63141 2017-04-18
1962865170 Zachary Keller Obstetrics & Gynecology 621 S New Ballas Rd Ste 499a, Saint Louis, MO 63141-8260 2016-04-04
1174985154 Leah Hong Obstetrics & Gynecology 6420 Clayton Rd Ste 2800, Saint Louis, MO 63117-1811 2016-03-28
1972997088 Jennifer E Powel Obstetrics & Gynecology 6420 Clayton Rd Ste 230-a, Saint Louis, MO 63117-1811 2015-03-26
1386068864 Wcc 2, LLC Obstetrics & Gynecology 3023 N Ballas Rd Bldg D, Suite 120d, Saint Louis, MO 63131-2330 2014-02-05
1881987410 Herman Taute Obstetrics & Gynecology 12040 Heatherdane Dr, Saint Louis, MO 63131-3119 2011-05-16
1174828198 Frank Eugene Hunleth Obstetrics & Gynecology 5331 Donovan Ave, Saint Louis, MO 63109-2635 2011-01-22
1972804631 Anastasios K Dagartzikas Obstetrics & Gynecology 12902 Tundra Ct, Saint Louis, MO 63131-1319 2010-11-11
1811227390 Laurel D Fendrich Obstetrics & Gynecology 10010 Kennerly Rd Fl 4, Saint Louis, MO 63128 2010-01-06
Find all providers in SAINT LOUIS

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City SAINT LOUIS
Zip Code 63118

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Dataset Information

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.

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