Organization Active NPI

Jasper Obstetrics and Gynecology Inc

  • Obstetrics & Gynecology Physician
  • Jasper, IN
National Provider Identifier
1881835106
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JASPER OBSTETRICS AND GYNECOLOGY INC
Practice address
613 Dorbett St
Jasper, IN 47546-2615
Phone
(812) 482-1289
Fax
(812) 482-3993
NPI assigned
Mar 17, 2009
Last updated
Mar 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Authorized official

Name
Linda Colvin
Title
Practice Manager
Phone
(812) 481-2709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

613 Dorbett St
Jasper, IN 47546-2615

Mailing address

613 Dorbett St
Jasper, IN 47546-2615
Phone (812) 482-1289

Other identifiers 1

IdentifierTypeStateIssuer
200938170AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000145 IN Part B Supplier - Clinic/Group Practice 5395895288 Receives reassigned benefits from 9 practitioners
Practice locations: Jasper, IN

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
15D0933464Jasper Obstetrics & Gynecology, Inc613 Dorbett Street, Jasper, IN 47546Provider-performed microscopyMar 30, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1881835106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-482-1289",
            "fax_number": "812-482-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 DORBETT ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462615",
            "telephone_number": "812-482-1289",
            "fax_number": "812-482-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER OBSTETRICS AND GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-481-2709"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200938170A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.