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SPRINGFIELD OB-GYN LLC NPI 1700804697


NPI Information

NPI: 1700804697
Provider Name: SPRINGFIELD OB-GYN, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 26D1056765

Address:
909 E MONTCLAIR ST
SUITE 120
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 882-4466
Get Directions

SPRINGFIELD OB-GYN, LLC 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. SPRINGFIELD OB-GYN, LLC NPI is 1700804697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

909 E MONTCLAIR ST
SUITE 120
SPRINGFIELD, MO
ZIP 65807-068
Phone: (417) 882-4466
Fax: (417) 890-5631

The provider's authorized official is Matthew Hua-yoa Ting .
The authorized official title is Medical Doctor and has the following contact phone number (417) 882-4466.

The CLIA number assigned to this NPI record is 26D1056765 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.


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 & Gynecology113753MISSOURIYes

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

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