Provider Demographics
NPI:1982712246
Name:PLAZA OBGYN INC
Entity Type:Organization
Organization Name:PLAZA OBGYN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:BIEST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-367-7600
Mailing Address - Street 1:3023 N BALLAS
Mailing Address - Street 2:STE 440D
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131
Mailing Address - Country:US
Mailing Address - Phone:314-432-8181
Mailing Address - Fax:314-432-0090
Practice Address - Street 1:ONE BARNES JEWISH HOSPITAL PLAZA
Practice Address - Street 2:STE 16306
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-367-7600
Practice Address - Fax:314-367-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty