Active NPI
OB GYN Care of Northeast Missouri LLC
- Obstetrics & Gynecology Physician
- Kirksville, MO
National Provider Identifier
1578818159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB GYN CARE OF NORTHEAST MISSOURI LLC
- Practice address
- 18385 Dairy Way
Kirksville, MO 63501-7519 - Phone
- (281) 235-6789
- NPI assigned
- Jul 19, 2012
- Last updated
- Oct 31, 2012
- 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
- Anastasia Solovieva, MD
- Title
- Ceo
- Phone
- (281) 827-7715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
18385 Dairy Way
Kirksville, MO 63501-7519
Mailing address
800 W Jefferson St
Second Floor
Kirksville, MO 63501-1443
Phone (281) 235-6789
National Provider Directory
National Provider DirectoryLocations
800 W Jefferson St
Fl Second
Kirksville, MO 63501
800 W Jefferson St
Ste 2
Kirksville, MO 63501
Phone (660) 626-2850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1578818159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W JEFFERSON ST",
"address_2": "SECOND FLOOR",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635011443",
"telephone_number": "281-235-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18385 DAIRY WAY",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635017519",
"telephone_number": "281-235-6789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB GYN CARE OF NORTHEAST MISSOURI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-19",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "SOLOVIEVA",
"authorized_official_first_name": "ANASTASIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "281-827-7715",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.