1. Home
  2. Directory
  3. Missouri
  4. Bolivar
  5. Obstetrics Gynecology
  6. NPI Profile

BOLIVAR OB/GYN
NPI 1720402175
Obstetrics & Gynecology in Bolivar, MO

Active since February 05, 2014
1165 N BUTTERFIELD RD, SUITE B, BOLIVAR, MO 65613(417) 777-8131(417) 777-8892 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bolivar Ob/gyn NPPES

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

BOLIVAR OB/GYN (NPI 1720402175) is a healthcare organization registered as an obstetrics & gynecology in Bolivar, Missouri and active in the NPI registry since February 2014. The organization lists Debra R Volcko, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1720402175
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameBOLIVAR OB/GYN
Location Address1165 N BUTTERFIELD RD, SUITE BBolivar, MO 65613-1056
Mailing Address1165 N Butterfield Rd, Suite BBolivar, MO 65613-1056 · (417) 777-8131 · Fax (417) 777-8892
Phone(417) 777-8131
Fax(417) 777-8892
Organization SubpartYesParent: Signature Medical Group
Authorized OfficialDebra R VolckoBusiness Manager · (417) 777-8131
Enumeration DateFebruary 5, 2014
✔ NPI 1720402175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MO · 2013021740
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.
1165 N BUTTERFIELD RD, Bolivar, MO 65613
Open in Google Maps ↗

Other Names 1

Doing Business AsBolivar Ob/gyn

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

Other Providers at the Same Location NPPES 3

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

DR. JASON M BAILEY D.O.
Internal Medicine (Pulmonary Disease)
1165 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 328-6055
DR. MAIDA PATRICIA BAUGH MD
Pediatrics
1165 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 777-2121
DR. DANA M MEENTS M.D.
Obstetrics & Gynecology
1165 N BUTTERFIELD RD
BOLIVAR, MO 65613
Polk County (417) 777-8131

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 Bolivar Ob/Gyn's NPI number?

The NPI number for Bolivar Ob/Gyn is 1720402175. It was assigned to this organization in the NPPES registry on February 5, 2014.

Where is Bolivar Ob/Gyn located?

Bolivar Ob/Gyn is located at 1165 N Butterfield Rd Suite B, Bolivar, MO 65613. The listed phone number is (417) 777-8131.

What is Bolivar Ob/Gyn'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 Bolivar Ob/Gyn was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.