OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. – NPI #1619037918
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. is a provider located in EAU CLAIRE, WI. NPPES has assigned the NPI number 1619037918 to OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. on December 10, 2006. 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 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

The NPI profile was last updated on Sep 11, 2025. 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 OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C. below.

NPI Profile for
OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.

NPI Number
1619037918
Enumeration Date

(more than 19 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
OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.
Primary location
1110 OAK RIDGE DR
EAU CLAIRE, WI 54701-6133
Phone: (715) 836-9020 Fax: (715) 834-9833
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IRFANE KHATIB
PRESIDENT
Phone: (715) 836-9020
Updated
Identifiers

Identifiers for OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWI31066700
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
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)		 WI
207VG0400X
- Obstetrics & Gynecology / Gynecology		 WI

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.