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MARYVILLE WOMEN'S CENTER
NPI 1184803355
Family Medicine in Maryville, IL

Active since October 24, 2007CLIA 14D2143899 · Microscopy
2016 VADALABENE DR, MARYVILLE, IL 62062(618) 288-2970(618) 288-3572 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Maryville Women's Center NPPES

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

MARYVILLE WOMEN'S CENTER (NPI 1184803355) is a healthcare organization registered as a family medicine in Maryville, Illinois and active in the NPI registry since October 2007. The organization holds a CLIA Microscopy certificate valid through February 6, 2028 and lists Tina M Gingrich, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1184803355
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTINA M.F. GINGRICH, MD, PC
Location Address2016 VADALABENE DRMaryville, IL 62062-6901
Mailing Address2016 Vadalabene DrMaryville, IL 62062-6901 · (618) 288-2970 · Fax (618) 288-3572
Phone(618) 288-2970
Fax(618) 288-3572
Organization SubpartNo
Authorized OfficialTina M GingrichOwner/physician · (618) 288-2970
Enumeration DateOctober 24, 2007
Last NPPES UpdateMarch 28, 2017
✔ NPI 1184803355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036087255
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2016 VADALABENE DR, Maryville, IL 62062
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Other Names 1

Doing Business AsMaryville Women's Center

Other Identifiers 1

Medicare PIN504770IL

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 MULTIPLE 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) 14D2143899

Maryville Women's Center · Glen Carbon, IL
Active · expires Feb 6, 2028
CLIA Number14D2143899
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorRodolfo S. Beer
Laboratory Phone(618) 288-2970
Laboratory LocationMaryville Women's Center4972 S State Rt 159, Glen Carbon, IL 62034
CLIA data matches this NPI record on: 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 11

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

DR. MORGAN MILLER MD
Obstetrics & Gynecology
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-2970
DR. JOCELYN FREEMAN
Dentist
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-9670
ROBIN TURNER-VIVIANO
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Madison County (618) 250-2115
OPEN MRI OF SOUTHERN ILLINOIS LLC
Clinic/Center (Radiology)
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-4929
ANDREA M. FOLEY D.M.D
Dentist (General Practice)
2016 VADALABENE DR, SUITE C
MARYVILLE, IL 62062
Madison County (618) 288-9670
MARYVILLE WOMENS CENTER SSR PC
Obstetrics & Gynecology
2016 VADALABENE DR, SUITE B
MARYVILLE, IL 62062
Madison County (618) 288-2970
FOLEY DENTAL GROUP, LLC
Dentist (General Practice)
2016 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-9670
MRS. ANN LK MILLIKIN LCPC
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Madison County (618) 604-1696

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 Tina M.F. Gingrich, MD, PC's NPI number?

The NPI number for Tina M.F. Gingrich, MD, PC is 1184803355. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as Maryville Women's Center.

Where is Tina M.F. Gingrich, MD, PC located?

Tina M.F. Gingrich, MD, PC is located at 2016 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-2970.

What is Tina M.F. Gingrich, MD, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Tina M.F. Gingrich, MD, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2143899) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tina M.F. Gingrich, MD, PC was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.