OBGYN SPECIALTY CLINIC PC – NPI #1760664502
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.

OBGYN SPECIALTY CLINIC PC is a provider located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1760664502 to OBGYN SPECIALTY CLINIC PC on December 04, 2007. 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 previously updated about 15 years ago on Apr 11, 2011. 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 OBGYN SPECIALTY CLINIC PC below.

NPI Profile for
OBGYN SPECIALTY CLINIC PC

NPI Number
1760664502
Enumeration Date

(more than 18 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
OBGYN SPECIALTY CLINIC PC
Primary location
625 W 18TH ST
SIOUX FALLS, SD 57105
Phone: (605) 338-0836 Fax: (605) 338-7890
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ELIZABETH DIMITRIEVICH
PRESIDENT
Phone: (605) 338-0836
Updated
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)
SD 3478

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.