Organization Active NPI

Marion Obstetrics & Gynecology, LTD

  • Obstetrics & Gynecology Physician
  • Marion, IL
National Provider Identifier
1992913669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARION OBSTETRICS & GYNECOLOGY, LTD
Practice address
3331 W Deyoung St
Suite 201
Marion, IL 62959-5896
Phone
(618) 998-9888
Fax
(618) 993-5951
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leslie Somers
Title
Office Manager
Phone
(618) 998-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

3331 W Deyoung St
Suite 201
Marion, IL 62959-5896

Mailing address

3331 W Deyoung St
Suite 201
Marion, IL 62959-5896
Phone (618) 998-9888

National Provider Directory

National Provider Directory

Locations

3331 W Deyoung St
Ste 201
Marion, IL 62959
Phone (618) 998-7019

3331 W Deyoung St
Ste 2
Marion, IL 62959
Phone (618) 998-9888

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": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992913669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST",
            "address_2": "SUITE 201",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595896",
            "telephone_number": "618-998-9888",
            "fax_number": "618-993-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST",
            "address_2": "SUITE 201",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595896",
            "telephone_number": "618-998-9888",
            "fax_number": "618-993-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION OBSTETRICS & GYNECOLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOMERS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-998-9888"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.