Provider Demographics
NPI:1912923228
Name:NAUGHTON, CATHY K (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHY
Middle Name:K
Last Name:NAUGHTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:111 SAINT LUKES CENTER DR STE 24B
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-3509
Mailing Address - Country:US
Mailing Address - Phone:636-685-7830
Mailing Address - Fax:314-590-5971
Practice Address - Street 1:111 SAINT LUKES CENTER DR STE 24B
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:MO
Practice Address - Zip Code:63017-3509
Practice Address - Country:US
Practice Address - Phone:636-685-7830
Practice Address - Fax:314-590-5971
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO103660208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
120984OtherMO-BLUE SHIELD
MO204016000Medicaid
120984OtherMO-BLUE SHIELD
G99329Medicare UPIN