Individual provider Active NPI

Tony C Lam, MD

  • Obstetrics & Gynecology Physician
  • Ste Genevieve, MO
National Provider Identifier
1093742314
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R2P87 Issued in MO
Practice address
800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone
(573) 883-5715
Fax
(573) 883-2463
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R2P87 MO Primary

Addresses

Primary practice location

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434

Mailing address

800 Ste Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-5715

Other practice location 1

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone (417) 257-9111

Other practice location 2

1627 Gibson Ave
West Plains, MO 65775-1873
Phone (417) 256-1838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, MS, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040928000486 MO Practitioner - Obstetrics/Gynecology 4284603176 Reassigns benefits to 6 organizations
I20230203002109 MS Practitioner - Obstetrics/Gynecology 4284603176 Reassigns benefits to 1 organization
I20230913000531 IL Practitioner - Obstetrics/Gynecology 4284603176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ozarks Medical CenterGroup PAC ID 3870491863, 166 clinicians

Practice addresses (Care Compare)

1100 N Kentucky Ave
West Plains, MO 65775-2029
Phone 41725691116036

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Missouri, PC Obstetrics & Gynecology CurrentSince Sep 25, 2018 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jan 26, 2023 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 15, 2013 Accepting new patients
Ozarks Medical Center CurrentSince May 22, 2023 Accepting new patients
Ozarks Medical Center CurrentSince May 22, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

1081 E 18th St
Rolla, MO 65401
Phone (573) 426-2407

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959

1627 Gibson Ave
West Plains, MO 65775
Phone (417) 256-1838

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1093742314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 STE GENEVIEVE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-5715",
            "fax_number": "573-883-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STE GENEVIEVE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-5715",
            "fax_number": "573-883-2463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 N Kentucky Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657752029",
            "country_code": "US",
            "telephone_number": "417-257-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1627 Gibson Ave",
            "address_purpose": "LOCATION",
            "city": "West Plains",
            "state": "MO",
            "postal_code": "657751873",
            "country_code": "US",
            "telephone_number": "417-256-1838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAM",
        "first_name": "TONY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R2P87",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.