Gynecology Specialists, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GYNECOLOGY SPECIALISTS, LLC

Practice address

1605 E Broadway Ste 260
Columbia, MO 65201-8044

Phone

(573) 442-2221

Fax

(573) 449-8646

NPI assigned

Jun 12, 2019

Last updated

Jul 11, 2019By 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

Sara E Crowder, MDNPI 1285689687

Title

Sole MBR

Phone

(573) 442-2221

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: rachelmallett@direct.practicefusion.com
• Direct secure messaging: saracrowdermd@direct.practicefusion.com

Practitioners 2

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.

• Sara E Crowder, MD

  • Gynecologic Oncology Physician
  • Columbia, MO
  • NPI 1285689687
  Medicare reassignment NPD Authorized official
• Rachel Mallett, RN, FNP-BC, MSN

  • Family Nurse Practitioner
  • Columbia, MO
  • NPI 1457730715
  Medicare reassignment NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1427617406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 260",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018044",
            "telephone_number": "573-442-2221",
            "fax_number": "573-449-8646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E BROADWAY STE 260",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018044",
            "telephone_number": "573-442-2221",
            "fax_number": "573-449-8646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N Morley St",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652702334",
            "country_code": "US",
            "telephone_number": "573-442-2221",
            "fax_number": "573-449-8646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GYNECOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "573-442-2221",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205887912",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SaraCrowderMD@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1605 E Broadway Ste 260",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RachelMallett@direct.practicefusion.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1605 E Broadway Ste 260",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652018044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitchell Wetherby Guthrie, L.P.C.
• Nemesio E Gutierrez
• Emily Jane Guyer, M.D.
• Kathryn Anne Guymon, DO
• Daniel L Gwartney, M.D.
• Daniel G Gysbers, MD
• Katherine Elise Gysbers, MD
• H B Therapeutic Services, LLC
• H. Elaine Cheong, D.D.S., L.L.C.
• H. Fred Christman, D.D.S., L.L.C.

• Obstetrics & Gynecology Physician in Columbia, MO
• Providers in Columbia, 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 Jul 11, 2019; 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.