JEFFERSON CITY OBSTETRICS & GYNECOLOGY INC
NPI 1235311796
Obstetrics & Gynecology in Jefferson City, MO
About Jefferson City Obstetrics & Gynecology Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFERSON CITY OBSTETRICS & GYNECOLOGY INC (NPI 1235311796) is a healthcare organization registered as an obstetrics & gynecology in Jefferson City, Missouri and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Kwei Lee Su, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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 of Waiver 26D0446124
Jefferson City Ob/Gyn Inc · Jefferson City, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jefferson City Obstetrics & Gynecology Inc's NPI number?
The NPI number for Jefferson City Obstetrics & Gynecology Inc is 1235311796. It was assigned to this organization in the NPPES registry on November 27, 2007.
Where is Jefferson City Obstetrics & Gynecology Inc located?
Jefferson City Obstetrics & Gynecology Inc is located at 2712 Plaza Dr, Jefferson City, MO 65109. The listed phone number is (573) 893-5500.
What is Jefferson City Obstetrics & Gynecology Inc's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Does Jefferson City Obstetrics & Gynecology Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0446124) is associated with this NPI, valid through June 17, 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 Jefferson City Obstetrics & Gynecology Inc was last updated on April 6, 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.
# Jefferson City Obstetrics & Gynecology Inc · NPI 1235311796
Obstetrics & Gynecology organization in Jefferson City, Missouri. Organization record, active in the CMS NPPES registry since November 27, 2007.
## Identity
- **NPI:** 1235311796 (Entity type: Organization)
- **Enumerated:** November 27, 2007
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **Organization subpart:** No
- **Authorized official:** Kwei Su, ADMINISTRATOR
## Practice location
- **Address:** 2712 PLAZA DR, Jefferson City, MO 65109-1147
- **Phone:** (573) 893-5500
## Record status
- **NPPES last updated:** April 6, 2010
- **Other identifiers:** Medicare UPIN 4014040 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1235311796) · Data from the CMS NPPES public registry.