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ST LOUIS GYNECOLOGY & ONCOLOGY NPI 1023029121


NPI Information

NPI: 1023029121
Provider Name: ST LOUIS GYNECOLOGY & ONCOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
11652 STUDT AVE
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 991-5445
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ST LOUIS GYNECOLOGY & ONCOLOGY is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ST LOUIS GYNECOLOGY & ONCOLOGY NPI is 1023029121. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11652 STUDT AVE
SAINT LOUIS, MO
ZIP 63141-025
Phone: (314) 991-5445
Fax: (314) 991-5447

The provider's authorized official is Alaa A Elbendary .
The authorized official title is Managing Member and has the following contact phone number (314) 991-5445.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 12/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist110171MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121918OTHERADVANTRA
2121918OTHERGROUP HEALTH PLAN
333810OTHERMISSOURIBCBS
4027213OTHERFMH EXCLUSIVE CHOICE
5F82867OTHERMERCY
6121918OTHERCMR
7288803OTHERHEALTHLINK
833180OTHERMISSOURIBLUE CHOICE
9=========OTHERGOLDEN RULE
10=========OTHERGREAT WEST
11352689215OTHERTRICARE
12=========OTHERCIGNA
13=========OTHERUNITED HEALTHCARE
14797098OTHERMISSOURIMEDICARE COMPLETE
15DE9886OTHERMISSOURIRR MEDICARE
16000014982MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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