1. Home
  2. Directory
  3. Minnesota
  4. Waconia
  5. Obstetrics Gynecology
  6. NPI Profile

WESTERN OB/GYN LTD
NPI 1093703316
Obstetrics & Gynecology in Waconia, MN

Active since October 11, 2005CLIA 24D0400873 · Microscopy
560 S MAPLE ST, SUITE 130, WACONIA, MN 55387(952) 442-2137(952) 442-5960 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Western Ob/gyn Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN OB/GYN LTD (NPI 1093703316) is a healthcare organization registered as an obstetrics & gynecology in Waconia, Minnesota and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through February 23, 2027 and lists Anthony J Werner, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1093703316
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWESTERN OB/GYN LTD
Location Address560 S MAPLE ST, SUITE 130Waconia, MN 55387-1733
Mailing Address560 S Maple St, Suite 130Waconia, MN 55387-1733 · (952) 442-2137 · Fax (952) 442-5960
Phone(952) 442-2137
Fax(952) 442-5960
Organization SubpartNo
Authorized OfficialAnthony J WernerChief Operating Officer · (952) 442-2137
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 19, 2010
✔ NPI 1093703316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
560 S MAPLE ST, Waconia, MN 55387
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedC07440MN
Medicaid526810900MN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 24D0400873

Western Ob/Gyn A Divison Of Ridgeview Clinics · Waconia, MN
Active · expires Feb 23, 2027
CLIA Number24D0400873
Laboratory TypePhysician Office
Certificate Effective DateFebruary 24, 2025
Certificate Expiration DateFebruary 23, 2027
Laboratory DirectorAndraya J. Huldeen
Laboratory Phone(952) 442-2137
Laboratory LocationWestern Ob/Gyn A Divison Of Ridgeview Clinics560 South Maple Street Suite 130, Waconia, MN 55387
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID CHARLES EGGERT M.D.
Orthopaedic Surgery (Sports Medicine)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
KATELYNN MARIE WALSH MS, LAT, ATC, EMT
Specialist/Technologist (Athletic Trainer)
560 S MAPLE ST
WACONIA, MN 55387
Carver County (952) 843-8505
MRS. MEGHAN M KOLUMBUS A.T.C.
Specialist/Technologist (Athletic Trainer)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
SCOTT MYRON HOLTHUSEN MD
Orthopaedic Surgery (Foot and Ankle Surgery)
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
SOMMER NICOLE VAUGHAN PA-C
Physician Assistant
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
ANDRAYA J HULDEEN-TIBBETTS M.D.
Obstetrics & Gynecology
560 S MAPLE ST, SUITE 130
WACONIA, MN 55387
Carver County (952) 442-2137
ROBERT MCCELLAN BARNETT JR. MD
Orthopaedic Surgery
560 S MAPLE ST, SUITE 200
WACONIA, MN 55387
Carver County (952) 442-2163
DR. ROBERT EUGENE SWANSON O.D.
Optometrist
560 S MAPLE ST, SUITE 110
WACONIA, MN 55387
Carver County (952) 442-4445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Ob/Gyn Ltd's NPI number?

The NPI number for Western Ob/Gyn Ltd is 1093703316. It was assigned to this organization in the NPPES registry on October 11, 2005.

Where is Western Ob/Gyn Ltd located?

Western Ob/Gyn Ltd is located at 560 S Maple St Suite 130, Waconia, MN 55387. The listed phone number is (952) 442-2137.

What is Western Ob/Gyn Ltd's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Western Ob/Gyn Ltd hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 24D0400873) is associated with this NPI, valid through February 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Western Ob/Gyn Ltd was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.