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NORTH PLATTE OB/GYN PC NPI 1215942677


NPI Information

NPI: 1215942677
Provider Name: NORTH PLATTE OB/GYN PC

Former Legal Business Name: NORTH PLATTE OBSTETRICS AND GYNECOLOGY

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 28D1016662

Address:
1115 S WILLOW ST
NORTH PLATTE, NE
ZIP 69101
Phone: (308) 534-4804
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NORTH PLATTE OB/GYN PC is an obstetrics gynecology in North Platte, NE. 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. NORTH PLATTE OB/GYN PC NPI is 1215942677. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is North Platte Obstetrics And Gynecology.

The provider's business location address is:

1115 S WILLOW ST
NORTH PLATTE, NE
ZIP 69101-082
Phone: (308) 534-4804
Fax: (308) 534-0460

The provider's authorized official is Yongsik Johng .
The authorized official title is Owner and has the following contact phone number (308) 534-4804.

The CLIA number assigned to this NPI record is 28D1016662 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 11/2/2016.


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 & GynecologyYes

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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