Active NPI
Generations Women'S Clinic, PLLC
- Obstetrics & Gynecology Physician
- Rexburg, ID
National Provider Identifier
1578714770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- GENERATIONS WOMEN'S CLINIC, PLLC
- Practice address
- 36 Professional PLZ
Rexburg, ID 83440-2049 - Phone
- (208) 656-8864
- Fax
- (208) 656-8877
- NPI assigned
- Oct 6, 2008
- 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
- Gary Lovell, MD
- Title
- Managing Member
- Phone
- (208) 656-8864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
36 Professional PLZ
Rexburg, ID 83440-2049
Mailing address
36 Professional PLZ
Rexburg, ID 83440-2049
Phone (208) 656-8864
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1578714770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 PROFESSIONAL PLZ",
"city": "REXBURG",
"state": "ID",
"postal_code": "834402049",
"telephone_number": "208-656-8864",
"fax_number": "208-656-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 PROFESSIONAL PLZ",
"city": "REXBURG",
"state": "ID",
"postal_code": "834402049",
"telephone_number": "208-656-8864",
"fax_number": "208-656-8877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENERATIONS WOMEN'S CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-07",
"status": "A",
"authorized_official_last_name": "LOVELL",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "208-656-8864",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rexburg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.