Unknown Individual – Obstetrics & Gynecology Physician, NPI 1386600989
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2016 S Main St
Maryville, MO 644682655
Phone: (660) 562-2600
Type: Location
Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States
BWPC
URBANA, IL 618012500
Phone: (217) 383-6792
Type: Mailing
311, West Fairchild Street, Danville, Vermilion County, Illinois, 61832, United States
DANVILLE, IL 618323876
Phone: (217) 431-7850
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $173.
Total Amount is formed as General ($173) + Research ($0) + Ownership ($0) = $173.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($35).
Total Amount
$173
General + Research + Ownership
Payments
10
Total payment records
General Amount
$173
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $35 |
| PFIZER INC. | $22 |
| Organon LLC | $22 |
| Novo Nordisk Inc | $18 |
| Minerva Surgical, Inc | $17 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 64468)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| - | MO | |
| - | MO | |
| A N E S T H E S I O L O G Y | KS | |
| A N E S T H E S I O L O G Y | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Hematology/Oncology, Internal Medicine | MO | |
| Certified Clinical Nurse Specialist (Cns) | MO | |
| Nurse Practitioner | MO |
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