Provider Demographics
NPI:1669500153
Name:ROCHELLE G CATUS INC
Entity Type:Organization
Organization Name:ROCHELLE G CATUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:CATUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-298-8646
Mailing Address - Street 1:12255 DE PAUL DR
Mailing Address - Street 2:STE 765
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2510
Mailing Address - Country:US
Mailing Address - Phone:314-504-8646
Mailing Address - Fax:
Practice Address - Street 1:12255 DE PAUL DR
Practice Address - Street 2:STE 765
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2510
Practice Address - Country:US
Practice Address - Phone:314-504-8646
Practice Address - Fax:314-997-2591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO4071Medicare ID - Type Unspecified
MOA13670Medicare UPIN