Provider Demographics
NPI:1063643013
Name:THE FERTILITY PARTNERSHIP
Entity Type:Organization
Organization Name:THE FERTILITY PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ELAN
Authorized Official - Last Name:SIMCKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-614-1177
Mailing Address - Street 1:5401 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1680
Mailing Address - Country:US
Mailing Address - Phone:314-614-1177
Mailing Address - Fax:
Practice Address - Street 1:5401 VETERANS MEMORIAL PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1680
Practice Address - Country:US
Practice Address - Phone:314-614-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103574207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty