Organization Active NPI

Institute for Beauty and Womens Health LLC

  • Obstetrics & Gynecology Physician
  • Branson, MO
National Provider Identifier
1891962312
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35042 Issued in MO
Legal business name
INSTITUTE FOR BEAUTY AND WOMENS HEALTH LLC
Practice address
590 W Pacific
Branson, MO 65616-0590
Phone
(417) 335-2080
Fax
(417) 336-3583
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Roy Neimark, MD, OBGYN
Title
Administrator
Phone
(417) 335-2080

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW000939 MO
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 120158 MO
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 35042 MO Primary

Addresses

Primary practice location

590 W Pacific
Branson, MO 65616-0590

Mailing address

590 W Pacific
Branson, MO 65616-0590
Phone (417) 335-2080

Other identifiers 2

IdentifierTypeStateIssuer
1891962312MedicaidMO
1295733103MedicaidMO

National Provider Directory

National Provider Directory

Locations

590 W Pacific St
Branson, MO 65616
Phone (417) 335-2080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1891962312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W PACIFIC",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656160590",
            "telephone_number": "417-335-2080",
            "fax_number": "417-336-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W PACIFIC",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656160590",
            "telephone_number": "417-335-2080",
            "fax_number": "417-336-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR BEAUTY AND WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "NEIMARK",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-335-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, OBGYN"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "SW000939",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "120158",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "35042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891962312",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295733103",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.