Healthcare Provider Details

I. General information

NPI: 1083803340
Provider Name (Legal Business Name): WOMENS CARE & FERTILITY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2007
Last Update Date: 08/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

456 N NEW BALLAS RD SUITE 220
SAINT LOUIS MO
63141-6831
US

IV. Provider business mailing address

PO BOX 419161
CREVE COEUR MO
63141-9161
US

V. Phone/Fax

Practice location:
  • Phone: 314-997-7177
  • Fax: 314-997-9142
Mailing address:
  • Phone: 314-997-7177
  • Fax: 314-997-9142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number103514
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number103574
License Number StateMO

VIII. Authorized Official

Name: DAVID ELAN SIMCHES
Title or Position: PRESIDENT/PHYSICIAN
Credential: MD
Phone: 314-997-7177