Ozark OB-GYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

OZARK OB-GYN LLC

Practice address

2600 Kanell Blvd # 1
Poplar Bluff, MO 63901-3001

Phone

(573) 785-0313

Fax

(573) 727-0079

NPI assigned

May 19, 2006

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald R Jones III, M.D.NPI 1649217951

Title

Physician

Phone

(573) 785-0313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1432/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald R Jones III, M.D.

  • Obstetrics & Gynecology Physician
  • Poplar Bluff, MO
  • NPI 1649217951
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1194779827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 KANELL BLVD # 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013001",
            "telephone_number": "573-785-0313",
            "fax_number": "573-727-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 KANELL BLVD # 1",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013001",
            "telephone_number": "573-785-0313",
            "fax_number": "573-727-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK OB-GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "573-785-0313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506091800",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ozark Physical Therapy
• Ozark Physical Therapy LLP

• Obstetrics & Gynecology Physician in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.