Jerry Lane Lowder, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Saint Louis, MO

Individual Active NPI

NPI number 1619941879

Practice location

4901 Forest Park Ave
Div OBGYN Pelvic Med/Reconstruct Surg, Ste 710
Saint Louis, MO 63108-1495
Phone
(314) 747-1402
Fax
(314) 362-3328

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NPI record

NPI
1619941879
Entity type
Individual (Type 1)
Enumeration date
February 15, 2006
Last updated
April 17, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary 207VF0040X 2013044288 MO
Obstetrics & Gynecology Physician 207V00000X 2013044288 MO

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone
(314) 747-1402
Fax
(314) 362-3328

About Dr. Lowder

Jerry Lane Lowder, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (code 207VF0040X). The practice location is 4901 Forest Park Ave, Div OBGYN Pelvic Med/Reconstruct Surg, Ste 710, Saint Louis, MO 63108-1495. The NPI number 1619941879 was assigned on February 15, 2006 and the record was last updated on April 17, 2025.

Dr. Lowder lists 2 licenses in the registry: #2013044288 (MO) for Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician; #2013044288 (MO) for Obstetrics & Gynecology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jerry Lane Lowder, MD?

The NPI number is 1619941879.

What is the phone number of Dr. Lowder?

The phone number listed for the practice location is (314) 747-1402.

Where is Dr. Lowder located?

4901 Forest Park Ave, Div OBGYN Pelvic Med/Reconstruct Surg, Ste 710, Saint Louis, MO 63108-1495.

What is the taxonomy code for Dr. Lowder?

The primary taxonomy code is 207VF0040X – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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