MARYVILLE WOMENS CENTER SSR PC
NPI 1427416494
Obstetrics & Gynecology in Maryville, IL

Active since February 05, 2016
2016 VADALABENE DR, SUITE B, MARYVILLE, IL 62062(618) 288-2970(618) 288-3572 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryville Womens Center Ssr Pc NPPES

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

MARYVILLE WOMENS CENTER SSR PC (NPI 1427416494) is a healthcare organization registered as an obstetrics & gynecology in Maryville, Illinois and active in the NPI registry since February 2016. The organization lists Kimberly N Sanford, Owner, as its authorized official.

NPPES Registry Identity

NPI1427416494
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMARYVILLE WOMENS CENTER SSR PC
Location Address2016 VADALABENE DR, SUITE BMaryville, IL 62062-6901
Mailing Address2016 Vadalabene Dr, Suite BMaryville, IL 62062-6901 · (618) 288-2970 · Fax (618) 288-3572
Fax(618) 288-3572
Organization SubpartNo
Authorized OfficialKimberly N SanfordOwner · (618) 288-2970
Enumeration DateFebruary 5, 2016
NPI 1427416494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

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.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
2016 VADALABENE DR, Maryville, IL 62062

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Obstetrics & Gynecology
2016 VADALABENE DR
MARYVILLE, IL 62062
Dentist
2016 VADALABENE DR
MARYVILLE, IL 62062
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062
Family Medicine
2016 VADALABENE DR
MARYVILLE, IL 62062
Clinic/Center (Radiology)
2016 VADALABENE DR
MARYVILLE, IL 62062
Dentist (General Practice)
2016 VADALABENE DR, SUITE C
MARYVILLE, IL 62062
Dentist (General Practice)
2016 VADALABENE DR
MARYVILLE, IL 62062
Counselor (Professional)
2016 VADALABENE DR, SUITE A
MARYVILLE, IL 62062

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 Maryville Womens Center Ssr PC's NPI number?

The NPI number for Maryville Womens Center Ssr PC is 1427416494. It was assigned to this organization in the NPPES registry on February 5, 2016.

Where is Maryville Womens Center Ssr PC located?

Maryville Womens Center Ssr PC is located at 2016 Vadalabene Dr Suite B, Maryville, IL 62062. The listed phone number is (618) 288-2970.

What is Maryville Womens Center Ssr PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Maryville Womens Center Ssr PC was last updated on February 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.