Organization Active NPI

Woman's Clinic, Inc

  • Gynecology Physician
  • Springfield, MO
National Provider Identifier
1841398401
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
WOMAN'S CLINIC, INC
Practice address
1135 E Lakewood St
Suite112
Springfield, MO 65810-2434
Phone
(417) 887-5500
Fax
(417) 883-8964
NPI assigned
Sep 20, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Dr. Donald P Kratz, M.D.NPI 1225135171
Title
President
Phone
(417) 887-5500

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

1135 E Lakewood St
Suite112
Springfield, MO 65810-2434

Mailing address

1135 E Lakewood St
Suite112
Springfield, MO 65810-2434
Phone (417) 887-5500

Other identifiers 1

IdentifierTypeStateIssuer
507847101MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000402 MO Part B Supplier - Clinic/Group Practice 9739084567 Receives reassigned benefits from 3 practitioners
Practice locations: Springfield, MO

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
26D0447892Woman's Clinic, the1135 E Lakewood St #112, Springfield, MO 65810Provider-performed microscopyJun 23, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1841398401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E LAKEWOOD ST",
            "address_2": "SUITE112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102434",
            "telephone_number": "417-887-5500",
            "fax_number": "417-883-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E LAKEWOOD ST",
            "address_2": "SUITE112",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102434",
            "telephone_number": "417-887-5500",
            "fax_number": "417-883-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMAN'S CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-887-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507847101",
            "state": "MO"
        }
    ],
    "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 Feb 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.