Provider Demographics
NPI:1487650768
Name:CALHOON, NATALIE WONG (MD)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:WONG
Last Name:CALHOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:GENEVIEVE
Other - Middle Name:NATALIE
Other - Last Name:WONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1066 EXECUTIVE PARKWAY DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6340
Mailing Address - Country:US
Mailing Address - Phone:314-469-6800
Mailing Address - Fax:314-469-6803
Practice Address - Street 1:615 S NEW BALLAS RD
Practice Address - Street 2:LABOR AND DELIVERY
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-469-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2021-07-28
Deactivation Date:2005-08-10
Deactivation Code:
Reactivation Date:2007-02-12
Provider Licenses
StateLicense IDTaxonomies
MOR1G98207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1492OtherBCBS
MO202664710Medicaid
MO202664710Medicaid