Organization
OB PRACTICE, LLC
Active
Parent organization
OB PRACTICE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OB PRACTICE, LLC
Authorized official
JAMES B. DAVIS (EXECUTIVE DIRECTOR)
(618) 257-4644
Entity
Organization
Contact information
Practice address
4600 MEMORIAL DRIVE, STE. 400, BELLEVILLE, IL 62226
(618) 234-2390
(618) 234-9936
Mailing address
4500 MEMORIAL DR, MEDICAL AFFAIRS CREDENTIALING DEPARTMENT, BELLEVILLE, IL 62226-5360
(618) 257-4644
(618) 257-6946
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
Other
Enumeration date
09/14/2010
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us