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MIDWEST OB GYN OF MISSOURI, L.L.C.
NPI 1699728543
Obstetrics & Gynecology in Poplar Bluff, MO

Active since May 19, 2006
2210 BARRON RD, POPLAR BLUFF, MO 63901(573) 686-4133(573) 686-1315 Get Directions Write a Review

NPPES record last updated: March 26, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 26, 2021, Jul 5, 2017, Jun 19, 2017 (3 updates tracked since 2017).

About Midwest Ob Gyn Of Missouri, L.l.c. NPPES

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

MIDWEST OB GYN OF MISSOURI, L.L.C. (NPI 1699728543) is a healthcare organization registered as an obstetrics & gynecology in Poplar Bluff, Missouri and active in the NPI registry since May 2006. The organization lists John R Patty, Physician, as its authorized official.

NPPES Registry Identity

NPI1699728543
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMIDWEST OB GYN OF MISSOURI, L.L.C.
Location Address2210 BARRON RDPoplar Bluff, MO 63901-1908
Mailing Address2210 Barron RdPoplar Bluff, MO 63901-1908 · (573) 686-4133 · Fax (573) 686-1315
Phone(573) 686-4133
Fax(573) 686-1315
Organization SubpartNo
Authorized OfficialJohn R PattyPhysician · (573) 772-7000
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 26, 20213 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1699728543 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.
2210 BARRON RD, Poplar Bluff, MO 63901
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Other Identifiers 1

Medicaid243029600MO

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Midwest Ob Gyn Of Missouri, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Midwest Ob Gyn Of Missouri, L.L.C., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sandy Johns, WHNP-BC
Nurse Practitioner
NPI 1578908091
2210 BARRON RD STE 206
Poplar Bluff, MO 63901
(573) 772-7000
✔ PECOS✔ Accepts MedicareSame address
John Patty, D.O.
Obstetrics/Gynecology
NPI 1326094566
2210 BARRON RD
Poplar Bluff, MO 63901
(573) 686-4133
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, L.L.C.'s NPI number?

The NPI number for Midwest Ob Gyn Of Missouri, L.L.C. is 1699728543. It was assigned to this organization in the NPPES registry on May 19, 2006.

Where is Midwest Ob Gyn Of Missouri, L.L.C. located?

Midwest Ob Gyn Of Missouri, L.L.C. is located at 2210 Barron Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4133.

What is Midwest Ob Gyn Of Missouri, L.L.C.'s specialty?

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

Is Midwest Ob Gyn Of Missouri, L.L.C. enrolled in Medicare?

Yes. Midwest Ob Gyn Of Missouri, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Midwest Ob Gyn Of Missouri, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Midwest Ob Gyn Of Missouri, L.L.C., in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Midwest Ob Gyn Of Missouri, L.L.C. accept?

Health plans from Anthem Blue Cross and Blue Shield list Midwest Ob Gyn Of Missouri, L.L.C. 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, L.L.C. was last updated on March 26, 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.