MIDWEST OB GYN OF MISSOURI, LLC
NPI 1396337473
Clinic/Center - Rural Health in Poplar Bluff, MO

Active since February 09, 2021CLIA 26D2138333 · Waiver
2210 BARRON RD STE 206, POPLAR BLUFF, MO 63901(573) 772-7000 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 5, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Midwest Ob Gyn Of Missouri, Llc NPPES

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

MIDWEST OB GYN OF MISSOURI, LLC (NPI 1396337473) is a healthcare organization registered as a rural health in Poplar Bluff, Missouri and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists John R Patty, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1396337473
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMIDWEST OB GYN OF MISSOURI, LLC
Location Address2210 BARRON RD STE 206Poplar Bluff, MO 63901-1908
Mailing AddressPo Box 1007Poplar Bluff, MO 63902-1007 · (573) 772-7000 · Fax (573) 686-1315
Organization SubpartYes
Authorized OfficialJohn R PattyOwner/physician · (573) 772-7000
Enumeration DateFebruary 9, 2021
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1396337473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2210 BARRON RD STE 206, Poplar Bluff, MO 63901

Accepted Insurance

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 26D2138333

Midwest Ob-Gyn Of Missouri, LLC · Poplar Bluff, MO
Active · expires Oct 15, 2027
CLIA Number26D2138333
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorJohn Patty
Laboratory Phone(573) 772-7000
Laboratory LocationMidwest Ob-Gyn Of Missouri, LLC2210 Barron Rd Suite 206, Poplar Bluff, MO 63901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Obstetrics & Gynecology)
2210 BARRON RD STE 206
POPLAR BLUFF, MO 63901

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 Midwest Ob Gyn Of Missouri, LLC's NPI number?

The NPI number for Midwest Ob Gyn Of Missouri, LLC is 1396337473. It was assigned to this organization in the NPPES registry on February 9, 2021.

Where is Midwest Ob Gyn Of Missouri, LLC located?

Midwest Ob Gyn Of Missouri, LLC is located at 2210 Barron Rd Ste 206, Poplar Bluff, MO 63901. The listed phone number is (573) 772-7000.

What is Midwest Ob Gyn Of Missouri, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Midwest Ob Gyn Of Missouri, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2138333) is associated with this NPI, valid through October 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Midwest Ob Gyn Of Missouri, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Midwest Ob Gyn Of Missouri, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Midwest Ob Gyn Of Missouri, LLC was last updated on March 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.