Unknown Individual – Obstetrics & Gynecology Physician, NPI 1659369965
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5471, Doctor Martin Luther King Drive, Wells Goodfellow, Cabanne Place, City of Saint Louis, Missouri, 63112, United States
SAINT LOUIS, MO 631124265
Phone: (314) 367-5820
Fax: (314) 367-7010
Type: Mailing
West Florissant Avenue, North Pointe, St. Louis, Missouri, 63136, United States
ST. LOUIS, MO 631362103
Phone: (314) 521-1444
Fax: (314) 521-2299
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2023-09-14 • Largest payer in this snapshot: PFIZER INC. ($35).
Total Amount
$83
General + Research + Ownership
Payments
3
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $35 |
| Sumitomo Pharma America, Inc. | $28 |
| Hologic Sales and Service, LLC | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| Family Practice | TN | |
| - | MO | |
| - | MO | |
| Internal Medicine | MO | |
| P O D I A T R Y | MO |
Reviews
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