OB GYN CARE LLC – Obstetrics & Gynecology Physician, NPI 1790945103

OB GYN CARE LLC is a healthcare provider. based in O fallon, Illinois. specializing in Obstetrics & Gynecology Physician. The organization holds a License No. 036097979 (IL). The NPI Number for OB GYN CARE LLC is 1790945103

Main info

Organization
Name
OB GYN CARE LLC
NPI
1790945103
Phone
(618) 628-1717
Address
1512 N GREEN MOUNT RD
Authorized Official
DR. BRADLEY J TISSIER MEMBER MD
Enumeration Date
10 June 2008
Last Update Date
10 June 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for OB GYN CARE LLC

  • 1512 N GREEN MOUNT RD

    SUITE 107

    O FALLON, IL 622691953

    Phone: (618) 628-1717

    Fax: (618) 628-1789

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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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 62269)

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Reviews

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Frequently asked questions

What unique ID ties claims to OB GYN CARE LLC?
NPI 1790945103 is assigned to OB GYN CARE LLC under the national enumeration system.
Is OB GYN CARE LLC active in the national directory?
OB GYN CARE LLC's public NPI profile is in an active state.
Does OB GYN CARE LLC list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for OB GYN CARE LLC. Clinical services aligned with this taxonomy classification.
Where does public data place OB GYN CARE LLC?
The snapshot lists O Fallon, Illinois for OB GYN CARE LLC; download NPPES for the complete set.
How can I contact OB GYN CARE LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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