# OAKLEAF CLINICS SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OAKLEAF CLINICS SC
- **Other names:** OakLeaf Clinics, SC - Southside OB-GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891187696
- **Legal business name:** OAKLEAF CLINICS SC
- **Authorized official:** JULIE M SMITH (CREDENTIALING REP-BUSINESS OFFICE)
- **Authorized official phone:** (715) 930-6560

## Contact information

- **Practice address:** 1110 OAK RIDGE DR, EAU CLAIRE, WI 54701
- **Practice address phone:** (715) 836-9242
- **Practice address fax:** (715) 836-7847
- **Mailing address:** 719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
- **Mailing address phone:** (715) 552-9784
- **Mailing address fax:** (715) 835-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VG0400X | Gynecology Physician | — | NULL | — |
| 207VG0400X | Gynecology Physician | — | — | — |
| 207VX0000X | Obstetrics Physician | — | NULL | — |
| 207VX0000X | Obstetrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/03/2015
- **Last updated:** 08/15/2018