Active NPI
Institute for Beauty and Women'S Health LLC
- Obstetrics & Gynecology Physician
- Branson, MO
National Provider Identifier
1295733103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35042
- Legal business name
- INSTITUTE FOR BEAUTY AND WOMEN'S HEALTH LLC
- Practice address
- 590 W Pacific
Branson, MO 65616 - Phone
- (417) 335-2080
- Fax
- (417) 335-2080
- NPI assigned
- Jul 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roy P Nermark, MD OBGYN
- Title
- Physician
- Phone
- (417) 335-2080
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Family Medicine Physician | 207Q00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | 35042 | MO | Primary |
Addresses
Primary practice location
590 W Pacific
Branson, MO 65616
Mailing address
590 W Pacific
Branson, MO 65616
Phone (417) 335-2080
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891962312 | Medicaid | MO | |
| 506013903 | Medicaid | MO | |
| 596013904 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222214400000",
"number": "1295733103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 W PACIFIC",
"city": "BRANSON",
"state": "MO",
"postal_code": "65616",
"telephone_number": "417-335-2080",
"fax_number": "417-336-3583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 W PACIFIC",
"city": "BRANSON",
"state": "MO",
"postal_code": "65616",
"telephone_number": "417-335-2080",
"fax_number": "417-335-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSTITUTE FOR BEAUTY AND WOMEN'S HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-13",
"last_updated": "2008-09-24",
"status": "A",
"authorized_official_last_name": "NERMARK",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "417-335-2080",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD OBGYN"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "35042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891962312",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506013903",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "596013904",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.