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DR. KATHRYNE RACHELLE DERROUGH M.D. NPI 1538279435


NPI Information

NPI: 1538279435
Provider Name: DR. KATHRYNE RACHELLE DERROUGH, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
3850 S NATIONAL AVE
#400
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-6850
Get Directions

DR. Kathryne Rachelle Derrough, M.D. is an obstetrics gynecology in Springfield, MO. The provider is 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. DR. Kathryne Rachelle Derrough, M.D. NPI is 1538279435. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3850 S NATIONAL AVE
#400
SPRINGFIELD, MO
ZIP 65807-287
Phone: (417) 269-6850
Fax: (417) 269-5830

The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology103200MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H00173MEDICARE UPIN
2203959408MEDICAIDMISSOURI
3160045259MEDICARE PIN
4121345OTHERBLUE CROSS MO
5006012043MEDICARE PIN
6963275133MEDICARE PIN
7P00377289MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.