Provider Demographics
NPI:1376731828
Name:CONSULTANTS IN OB GYN INC
Entity Type:Organization
Organization Name:CONSULTANTS IN OB GYN INC
Other - Org Name:ROBERT L BECKER, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-251-6644
Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:SUITE399
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8232
Mailing Address - Country:US
Mailing Address - Phone:314-251-6644
Mailing Address - Fax:314-251-6891
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:SUITE399
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-6644
Practice Address - Fax:314-251-6891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO32180207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO0700001OtherUNITED HEALTH CARE
MO3978OtherMEDICARE
MO2154669OtherAETNA
MO61896OtherGROUP HEALTH PLAN
MO133850OtherHEALTHLINK
MO21952OtherANTHEM BLUE CROSS
MO61896OtherGROUP HEALTH PLAN