MARYVILLE WOMENS CENTER PC – NPI #1356857171
Obstetrics & Gynecology

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.

MARYVILLE WOMENS CENTER PC is a provider located in GLEN CARBON, IL. NPPES has assigned the NPI number 1356857171 to MARYVILLE WOMENS CENTER PC on December 15, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was last updated on Apr 29, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYVILLE WOMENS CENTER PC below.

NPI Profile for
MARYVILLE WOMENS CENTER PC

NPI Number
1356857171
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYVILLE WOMENS CENTER PC
Primary location
4972 STATE ROUTE 159
GLEN CARBON, IL 62034
Phone: (618) 288-2970 Fax: (618) 288-3572
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LORI BEER
PRACTICE MANAGER
Phone: (618) 288-2970
Updated
Certification Date
Apr 29, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.