Healthcare Provider Details

I. General information

NPI: 1144212895
Provider Name (Legal Business Name): CATHERINE M HOHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16216 BAXTER ROAD SUITE 100
CHESTERFIELD MO
63017
US

IV. Provider business mailing address

16216 BAXTER ROAD SUITE 100
CHESTERFIELD MO
63017
US

V. Phone/Fax

Practice location:
  • Phone: 636-449-4700
  • Fax: 636-449-2595
Mailing address:
  • Phone: 636-449-4700
  • Fax: 636-449-2595

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number110700
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: