OB GYN CARE LLC – NPI #1790945103
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.

OB GYN CARE LLC is a provider located in O'FALLON, IL. NPPES has assigned the NPI number 1790945103 to OB GYN CARE LLC on June 10, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

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 OB GYN CARE LLC below.

NPI Profile for
OB GYN CARE LLC

NPI Number
1790945103
Enumeration Date

(about 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
OB GYN CARE LLC
Primary location
1512 N GREEN MOUNT RD
SUITE 107
O'FALLON, IL 62269-1953
Phone: (618) 628-1717 Fax: (618) 628-1789
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRADLEY TISSIER
MEMBER
Phone: (618) 628-1717
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)
IL 036097979
208600000X
- Surgery
IL 036097979

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.