Organization Active NPI

Mexico Womens Health Specialists

  • Obstetrics & Gynecology Physician
  • Mexico, MO
National Provider Identifier
1689843708
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
36175 Issued in MO
Legal business name
MEXICO WOMENS HEALTH SPECIALISTS
Practice address
626 E Summit St Ste J
Mexico, MO 65265-3298
Phone
(573) 581-7040
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Karla Newbrough
Title
Office MGR
Phone
(573) 581-7040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 36175 MO Primary

Addresses

Primary practice location

626 E Summit St Ste J
Mexico, MO 65265-3298

Mailing address

626 E Summit St Ste J
Mexico, MO 65265-3298
Phone (573) 581-7040

Other identifiers 1

IdentifierTypeStateIssuer
502427404MedicaidMO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1689843708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST STE J",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST STE J",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICO WOMENS HEALTH SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "NEWBROUGH",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "573-581-7040"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "36175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502427404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.