OBGYN Specialty Clinic PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

3478 Issued in SD

Legal business name

OBGYN SPECIALTY CLINIC PC

Practice address

625 W 18TH St
Sioux Falls, SD 57105

Phone

(605) 338-0836

Fax

(605) 338-7890

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Elizabeth Dimitrievich, MD

Title

President

Phone

(605) 338-0836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1760664502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-338-0836",
            "fax_number": "605-338-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W 18TH ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "57105",
            "telephone_number": "605-338-0836",
            "fax_number": "605-338-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN SPECIALTY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "DIMITRIEVICH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-338-0836",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "SD",
            "license": "3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy T O'Shea, M.D.
• Jeffrey Oakland, OD
• Sara Oakland, CRNA
• Michelle Oakley
• Japneet Kaur Oberoi
• Obstetrics and Gynecology and Gynecologic Oncology PC
• Efrain Ocegueda-Aguilar, RDN
• Holly Ochoga, DPT
• Tanya Marie Ochsner, PHD
• Lindsey Bee Ode, CNP

• Obstetrics & Gynecology Physician in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Obstetrics & Gynecology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.