Organization Active NPI

Springfield OB-GYN, LLC

  • Obstetrics & Gynecology Physician
  • Springfield, MO
National Provider Identifier
1700804697
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
113753 Issued in MO
Legal business name
SPRINGFIELD OB-GYN, LLC
Practice address
909 E Montclair St
Suite 120
Springfield, MO 65807-5068
Phone
(417) 882-4466
Fax
(417) 890-5631
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew Hua-Yoa TingNPI 1952334468
Title
Medical Doctor
Phone
(417) 882-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 113753 MO Primary

Addresses

Primary practice location

909 E Montclair St
Suite 120
Springfield, MO 65807-5068

Mailing address

909 E Montclair St
Suite 120
Springfield, MO 65807-5068
Phone (417) 882-4466

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1056765Springfield OB/GYN LLC909 E Montclair St, Springfield, MO 65807Certificate of waiverJul 24, 2028

National Provider Directory

National Provider Directory

Locations

909 E Montclair St
Ste 120
Springfield, MO 65807
Phone (417) 882-4466

Interoperability endpoints

  • Direct secure messaging: mting@springfieldobgyn.azalea.phimailbox.com

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700804697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E MONTCLAIR ST",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075068",
            "telephone_number": "417-882-4466",
            "fax_number": "417-890-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E MONTCLAIR ST",
            "address_2": "SUITE 120",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075068",
            "telephone_number": "417-882-4466",
            "fax_number": "417-890-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD OB-GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HUA-YOA",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "417-882-4466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "113753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.