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M. EDWARD MIMLITZ PC
NPI 1952715005
Obstetrics & Gynecology in St. Louis, MO

Active since June 17, 2014
621 S. NEW BALLAS RD., SUITE 419-A, ST. LOUIS, MO 63141(314) 432-8505(314) 432-6853 Get Directions Write a Review

NPPES record last updated: July 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About M. Edward Mimlitz Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

M. EDWARD MIMLITZ PC (NPI 1952715005) is a healthcare organization registered as an obstetrics & gynecology in St. Louis, Missouri and active in the NPI registry since June 2014. The organization lists Michael E. Mimlitz, President, as its authorized official.

NPPES Registry Identity

NPI1952715005
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameM. EDWARD MIMLITZ PC
Location Address621 S. NEW BALLAS RD., SUITE 419-ASt. Louis, MO 63141-8259
Mailing Address621 S. New Ballas Rd., Suite 419-aSt. Louis, MO 63141-8259 · (314) 432-8505 · Fax (314) 432-6853
Phone(314) 432-8505
Fax(314) 432-6853
Organization SubpartNo
Authorized OfficialMichael E. MimlitzPresident · (314) 432-8505
Enumeration DateJune 17, 2014
Last NPPES UpdateJuly 2, 2014
✔ NPI 1952715005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 101836
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
621 S. NEW BALLAS RD., St. Louis, MO 63141
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Other Identifiers 3

Medicaid208179317MO
Other0700441MO · United Health Care
Medicare UPINF38328MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KELLEY JOHANNA BASS PA-C
Physician Assistant (Surgical)
621 S. NEW BALLAS RD., SUITE 297-A
ST. LOUIS, MO 63141
St. Louis County (314) 251-6364
MRS. ANN LUTZEIER PEICK M.D.
Surgery (Trauma Surgery)
621 S. NEW BALLAS RD., SUITE 560A
ST LOUIS, MO 63141
St. Louis County (314) 251-6440
DR. JOSHUA DAVID BINEK M.D.
Internal Medicine
621 S. NEW BALLAS RD., SUITE 507A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-5746

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is M. Edward Mimlitz PC's NPI number?

The NPI number for M. Edward Mimlitz PC is 1952715005. It was assigned to this organization in the NPPES registry on June 17, 2014.

Where is M. Edward Mimlitz PC located?

M. Edward Mimlitz PC is located at 621 S. New Ballas Rd. Suite 419-A, St. Louis, MO 63141. The listed phone number is (314) 432-8505.

What is M. Edward Mimlitz PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for M. Edward Mimlitz PC was last updated on July 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.