Midwest OBGYN & Infertility Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036084779 Issued in IL

Legal business name

MIDWEST OBGYN & INFERTILITY CENTER

Practice address

675 E Snyder Dr Ste 1
Decatur, IL 62526-4766

Phone

(217) 875-1886

Fax

(217) 875-3120

NPI assigned

Aug 3, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Vidya Sagar Rao Morisetty, M.D.

Title

Owner

Phone

(217) 875-1886

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16757/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vidya Sagar Rao Morisetty, MD

  • Obstetrics & Gynecology Physician
  • Decatur, IL
  • NPI 1265549174
  NPD (past)
• Melissa Kay Wendell, CNM

  • Advanced Practice Midwife
  • Decatur, IL
  • NPI 1598039661
  NPD (past)

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1104173533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 E SNYDER DR STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264766",
            "telephone_number": "217-875-1886",
            "fax_number": "217-875-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E SNYDER DR STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264766",
            "telephone_number": "217-875-1886",
            "fax_number": "217-875-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST OBGYN & INFERTILITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "MORISETTY",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "SAGAR RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-875-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036084779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midwest Eye Associates LLC
• Midwest Healthcare Center SC
• Midwest Internal Medicine SC
• Midwest Neurology Associates, S.C.
• Midwest Neurology Associates, S.C.
• Roxanne L Miller-Sinclair
• Kathleen J Miller, M.D.
• Kylie Miller
• Linda Sue Miller I
• Megan Elizabeth Miller, M.S., CCC-SLP/L

• Obstetrics & Gynecology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.