Obstetrics Gynecology Clinic of Eau Claire, S.C.

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.

Practice address

1110 Oak Ridge Dr
Eau Claire, WI 54701-6133

Phone

(715) 836-9020

Fax

(715) 834-9833

NPI assigned

Dec 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Irfane M. Khatib, M.D.

Title

President

Phone

(715) 836-9020

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1619037918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-836-9020",
            "fax_number": "715-834-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 OAK RIDGE DR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016133",
            "telephone_number": "715-836-9020",
            "fax_number": "715-834-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS GYNECOLOGY CLINIC OF EAU CLAIRE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "IRFANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-836-9020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31066700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.