Active NPI
Woman's Clinic, Inc
- Gynecology Physician
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507847101 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0447892 | Woman's Clinic, the | Provider-performed microscopy | Jun 23, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Gynecology Physician
- Springfield, MO
- NPI 1225135171
-
- Family Nurse Practitioner
- Springfield, MO
- NPI 1427909548
-
- Family Nurse Practitioner
- Springfield, MO
- NPI 1184710832
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.