Mexico Womens Health Specialists LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

36175 Issued in MO

Legal business name

MEXICO WOMENS HEALTH SPECIALISTS LLC

Practice address

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

Phone

(573) 581-7040

Fax

(573) 581-3302

NPI assigned

Aug 3, 2009

Organization subpart

No

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

Authorized official

Name

Karla Newbrough

Title

Office Manager

Phone

(573) 581-7040

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249257600000",
    "number": "1700017191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST",
            "address_2": "SUITE J",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-7040",
            "fax_number": "573-581-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E SUMMIT ST",
            "address_2": "SUITE J",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653298",
            "telephone_number": "573-581-7040",
            "fax_number": "573-581-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXICO WOMENS HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-03",
        "last_updated": "2009-08-03",
        "status": "A",
        "authorized_official_last_name": "NEWBROUGH",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-581-7040"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MO",
            "license": "36175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502427404",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mexico Medical Specialists, L.C.
• Mexico Public Schools
• Mexico Residential, LLC
• Mexico Surgical Associates, Inc
• Mexico Womens Health Specialists
• Missouri Central Physical Therapy, LLC
• Missouri Veterans' Commission
• Jeffrey Allen Moeller, D.D.S.
• Karen Morrison
• Ahmad H Muraywid, M.D.

• Gynecology Physician in Mexico, MO
• Providers in Mexico, MO by specialty
• Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.