Ovum Medical, LLC

Primary specialty

Complex Family Planning PhysicianTaxonomy code 207VC0300X

Legal business name

OVUM MEDICAL, LLC

Practice address

929 Irish Rd
Sagle, ID 83860-5031

Phone

(208) 217-1102

NPI assigned

Mar 6, 2023

Last updated

Dec 29, 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

Alice Crisci, BS

Title

Ceo

Phone

(310) 927-1017

Specialties & licenses 12

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, FL2 enrollments

Enrollment records 2

Locations

Practitioners 10

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.

• Amanda N Alvelo-Malina, M.D.

  • Obstetrics & Gynecology Physician
  • Carrollton, TX
  • NPI 1295931715
  Medicare reassignment NPD
• Tawnya Anderson, FNP

  • Family Nurse Practitioner
  • Port Arthur, TX
  • NPI 1376920041
  Medicare reassignment NPD
• Emily Josephine Kelley-Brown, MPH, RD, CD, CSP

  • Registered Dietitian
  • Stanwood, WA
  • NPI 1710217419

  Dietitian, Registered, TX

  Medicare reassignment NPD
• Kirby J Plessala, M.D.

  • Obstetrics & Gynecology Physician
  • Mobile, AL
  • NPI 1134211147

  FL, TX

  Medicare reassignment NPD
• Jenna Meryl Appel, RD

  • Registered Dietitian
  • Lauderhill, FL
  • NPI 1467954446

  Dietitian, Registered

  NPD (past)
• Tamara D Austin, PA-C

  • Physician Assistant
  • Travelers Rest, SC
  • NPI 1841589744
  NPD (past)
• Nastaran Foyouzi-Yousefi, M.D

  • Reproductive Endocrinology Physician
  • La Jolla, CA
  • NPI 1689843989
  NPD (past)
• Jill Marie Garnier, MD

  • Obstetrics & Gynecology Physician
  • Minnetonka, MN
  • NPI 1780848317
  NPD (past)
• Laurence A Jacobs, M.D.

  • Reproductive Endocrinology Physician
  • Glenview, IL
  • NPI 1922141522
  NPD (past)
• Jessica Pearce, DO

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
  • NPI 1134562945
  NPD (past)

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1205536703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 IRISH RD",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838605031",
            "telephone_number": "208-217-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 IRISH RD",
            "city": "SAGLE",
            "state": "ID",
            "postal_code": "838605031",
            "telephone_number": "208-217-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3458 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323121485",
            "country_code": "US",
            "telephone_number": "307-284-3227",
            "fax_number": "659-202-7955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OVUM MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "CRISCI",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-927-1017",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VC0300X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Complex Family Planning",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Giles, RN BSN CCM
• Brenda Hammond, LCSW
• Kyle Hoedebecke, M.D.
• Julie R. Hoyle, MS CCC-SLP
• Thomas J Leavitt, M.D.
• Leah Jeanne Pollock, MSN, AGPCNP-BC
• Kristi Sabo, RN
• Sagle Fire District
• Summit Counseling Center, LLC
• Thomas J. Leavitt MD PC

• Obstetrics & Gynecology Physician in Sagle, ID
• Providers in Sagle, ID by specialty
• Obstetrics & Gynecology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.