OrganizationActive
St Ann Ob Gyn Inc
NPI 1063458305 · Obstetrics & Gynecology Physician · St Louis, MO
Provider details
- NPI number
- 1063458305
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fred Monterubio, Vp Vice President(314) 432-2880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3009 N Ballas Road
Suite 356c
St Louis, MO 63131-2322
Phone: (314) 432-2880
Fax: (314) 432-4810
Street-level locationGet directions
Mailing address
3009 N Ballas Road
St Louis, MO 63131-2322
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.