SIGNATURE HEALTH SERVICES (NPI# 1205940970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205940970 |
| Entity Type | Organization |
| Organization Name | SIGNATURE HEALTH SERVICES |
| Other Organization Name | GENESIS OB/GYN |
| Practice Address |
12266 De Paul Dr Suite 200 Bridgeton MO 63044-2514 |
| Practice Telephone | 3142912975 |
| Practice Fax Number | 3142912783 |
| Mailing Telephone | 3142912975 |
| Mailing Fax Number | 3142912783 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | ANGELA CARTWRIGHT (PHYSICIAN) |
| Authorized Official Telephone | 3142912975 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | CLIA NUMBER | 26D0855764 | 01 |
| Other Name | Type Code |
|---|---|
| Genesis Ob/Gyn | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043514078 | Signature Health Services | Obstetrics & Gynecology | 12266 De Paul Dr, Suite 200, Bridgeton, MO 63044-2514 | 2011-01-05 |
| 1962432492 | Signature Health Services | Clinic/Center | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2006-07-03 |
| Street Address |
12266 DE PAUL DR SUITE 200 |
| City | BRIDGETON |
| State | MO |
| Zip Code | 63044-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215994892 | Ardaman S. Nanda | Internal Medicine | 12266 De Paul Dr, 205, Bridgeton, MO 63044-2514 | 2006-04-27 |
| 1528477114 | Midwest Dental Sleep Medicine Institute,llc | Dentist | 12266 De Paul Dr, Suite 325, Bridgeton, MO 63044-2514 | 2014-08-07 |
| 1043514078 | Signature Health Services | Obstetrics & Gynecology | 12266 De Paul Dr, Suite 200, Bridgeton, MO 63044-2514 | 2011-01-05 |
| 1689978785 | Thomas Gotsis Dds PC | Durable Medical Equipment & Medical Supplies | 12266 De Paul Dr, #325, Bridgeton, MO 63044-2514 | 2011-01-04 |
| 1245465467 | Ryan Michael Russell | Pharmacist | 12266 De Paul Dr, Suite 105, Bridgeton, MO 63044-2514 | 2009-05-18 |
| 1831282177 | Ardaman S Nanda Inc | Internal Medicine | 12266 De Paul Dr, 205, Bridgeton, MO 63044-2514 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073150017 | Zoe Marie Wadsworth | Nurse Practitioner | 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 | 2019-12-10 |
| 1609412451 | Beyond Better, Best Home Health Care Services, Limited Liability Corpo | In Home Supportive Care | 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 | 2019-11-26 |
| 1275189078 | Delicate Angels Home Health LLC | Home Health | 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 | 2019-08-16 |
| 1588210082 | Nicholas Huber | Physical Therapist | 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 | 2019-08-12 |
| 1124688858 | Michelle Bassett | Registered Nurse | 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 | 2019-06-14 |
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1487123105 | Laura N Steiner | Registered Nurse | Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 | 2018-11-26 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1588163570 | Thoughts Out Loud Counseling, LLC | Social Worker | 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 | 2018-02-06 |
| 1912411430 | Breanna Victoria Hayes | Counselor | 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 | 2017-11-20 |
| Find all providers in zip 63044 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346386000 | Inspira Medical Centers, Inc. | Obstetrics & Gynecology | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649833088 | Blooms Birth Center | Obstetrics & Gynecology | 5523 N Farmer Branch Rd, Ozark, MO 65721-5315 | 2019-04-22 |
| 1780149336 | Holistic Family Medicine and Obstetrics LLC | Obstetrics & Gynecology | 102 E Washington St, Marshall, MO 65340-2146 | 2019-02-07 |
| 1578062436 | Regina Beth Kizer | Obstetrics & Gynecology | 1901 S Ventura Ave Ste B, Springfield, MO 65804-2700 | 2018-02-06 |
| 1053844282 | Saint Francis Medical Center | Obstetrics & Gynecology | Rr 4 #4515, Piedmont, MO 63957-9417 | 2017-04-05 |
| 1972854032 | West County Obgyn Specialists, PC | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 75b, Saint Louis, MO 63141-8251 | 2012-09-28 |
| 1316210404 | Carrisann Tennessee Woods | Obstetrics & Gynecology | 525 Branson Landing Blvd Ste 408, Branson, MO 65616 | 2012-02-20 |
| 1265663348 | John F Medler | Obstetrics & Gynecology | 171 Valley Vue Cr., Saint Albans, MO 63073-0288 | 2009-08-06 |
| 1295842342 | Generoso Guzman | Obstetrics & Gynecology | 701 E Lincoln St, Hayti, MO 63851-1738 | 2006-08-24 |
| 1407869050 | Debra L Schaeffergrime | Obstetrics & Gynecology | 322 Woodlawn Terrace Ct, Ballwin, MO 63021-8336 | 2006-08-14 |
| 1003878141 | Gerald Wayne Englund | Obstetrics & Gynecology | 1002 Mc Intosh Cir, Ste. 3, Joplin, MO 64804-3642 | 2006-04-04 |
| Find all providers with the same taxonomy | ||||
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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.