NPIMap

Organization Active NPI

Ladies First OB/GYN Obstetrical Services, PC

  • Specialist
  • Farmington, MO
National Provider Identifier
1760586259
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LADIES FIRST OB/GYN OBSTETRICAL SERVICES, PC
Practice address
1103 Weber Rd
Suite 203
Farmington, MO 63640-3345
Phone
(573) 756-9107
Fax
(573) 756-9630
NPI assigned
Sep 12, 2006
Last updated
Feb 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Ernest Gibson
Title
Office Manager
Phone
(573) 756-9107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1103 Weber Rd
Suite 203
Farmington, MO 63640-3345

Mailing address

1103 Weber Rd
Suite 203
Farmington, MO 63640-3345
Phone (573) 756-9107

Other identifiers 1

IdentifierTypeStateIssuer
505786905MedicaidMO

National Provider Directory

National Provider Directory

Locations

1103 Weber Rd
Ste 203
Farmington, MO 63640
Phone (573) 756-9107

1105 W Liberty St
Ste 3002
Farmington, MO 63640
Phone (573) 756-9107

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1760586259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 WEBER RD",
            "address_2": "SUITE 203",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403345",
            "telephone_number": "573-756-9107",
            "fax_number": "573-756-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 WEBER RD",
            "address_2": "SUITE 203",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403345",
            "telephone_number": "573-756-9107",
            "fax_number": "573-756-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADIES FIRST OB/GYN OBSTETRICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-756-9107"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505786905",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.