Provider Demographics
NPI:1265467377
Name:HELM, CYRIL WILLIAM (MB BCHIJ)
Entity Type:Individual
Prefix:
First Name:CYRIL
Middle Name:WILLIAM
Last Name:HELM
Suffix:
Gender:M
Credentials:MB BCHIJ
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 CLAYTON RD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63117-1811
Mailing Address - Country:US
Mailing Address - Phone:314-781-8605
Mailing Address - Fax:314-646-8627
Practice Address - Street 1:1031 BELLEVUE AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1818
Practice Address - Country:US
Practice Address - Phone:314-977-7455
Practice Address - Fax:314-977-7477
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010035442207VX0201X
KY36116207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000021037OtherHUMANA FOUNDATION
5722062OtherAETNA
KY64014806Medicaid
000007338VOtherHUMANA PCS
IN200278920Medicaid
KY1275766Medicare PIN
IN194560AMedicare PIN
000007338VOtherHUMANA PCS
000021037OtherHUMANA FOUNDATION