Basic Information
| Provider Information | |||||||||
| NPI: | 1528255239 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WOMENS HEALTH WELLNESS & PREGNANCY PC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
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| Credential: | |||||||||
| OtherOrganizationName: | INNER CITY OB/GYN ASSOCIATES | ||||||||
| OtherOrganizationType: | 4 | ||||||||
| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 10135 W FLORISSANT AVE | ||||||||
| Address2: | |||||||||
| City: | ST LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 63136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3145211444 | ||||||||
| FaxNumber: | 3145212299 | ||||||||
| Practice Location | |||||||||
| Address1: | 10135 W FLORISSANT AVE | ||||||||
| Address2: | |||||||||
| City: | SAINT LOUIS | ||||||||
| State: | MO | ||||||||
| PostalCode: | 631362103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3145211444 | ||||||||
| FaxNumber: | 3145212299 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2007 | ||||||||
| LastUpdateDate: | 06/21/2011 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | PILE | ||||||||
| AuthorizedOfficialFirstName: | MARGARITA | ||||||||
| AuthorizedOfficialMiddleName: | EMMA | ||||||||
| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 3145211444 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MS. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QM2500X | 102375 | MO | Y | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No ID Information.