Provider Demographics
NPI:1861674772
Name:WOMEN'S CARE & FERTILITY ASSOCIATES INC
Entity Type:Organization
Organization Name:WOMEN'S CARE & FERTILITY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ELAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SIMCKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-997-7177
Mailing Address - Street 1:PO BOX 419161
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-9161
Mailing Address - Country:US
Mailing Address - Phone:314-997-7177
Mailing Address - Fax:314-997-9142
Practice Address - Street 1:456 N NEW BALLAS RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6831
Practice Address - Country:US
Practice Address - Phone:314-997-7177
Practice Address - Fax:314-997-9142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO103574207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000013358Medicare PIN
MOF56281Medicare UPIN