ST MARYS OBGYN LLC
NPI 1912963422
Obstetrics & Gynecology in Jefferson City, TN

NPI Status: Active since April 24, 2006

Contact Information

120 HOSPITAL DR
SUITE 250
JEFFERSON CITY, TN
ZIP 37760
Phone: (865) 471-2644
Fax: (865) 471-2649

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  • Organization
  • Obstetrics & Gynecology

About ST MARYS OBGYN LLC

This page provides the complete NPI Profile along with additional information for St Marys Obgyn Llc, a women's health care provider established in Jefferson City, Tennessee operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1912963422 assigned on April 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Debra K London (Chief Executive Officer)

NPI
1912963422
Provider Name
ST MARYS OBGYN LLC
Entity Type
Organization
Location Address
120 HOSPITAL DR SUITE 250 JEFFERSON CITY, TN 37760
Location Phone
(865) 471-2644
Location Fax
(865) 471-2649
Mailing Address
900 EAST OAK HILL AVENUE KNOXVILLE, TN 37917
Mailing Phone
(865) 545-8000
Mailing Fax
(865) 471-2649
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-24-2006
Last Update Date
08-07-2009
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Women's health care providers like St Marys Obgyn Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. DEBRA K LONDON

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(865) 545-7558

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3731815MEDICARE PIN (08)TN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912963422
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922186644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 6 + 6 + 4 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1912963422 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013913839DR. JOHN WM ZIRKLE M.D.
Individual
Internal Medicine120 HOSPITAL DR STE 130
JEFFERSON CTY, TN 37760
(865) 475-4742
1518963255MR. STEPHEN C GANTTE M.D.
Individual
Internal Medicine120 HOSPITAL DR STE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1598762361DR. ANGELA S MANY M.D.
Individual
Specialist120 HOSPITAL DR SUITE 250
JEFFERSON CITY, TN 37760
(865) 475-1009
1780821801CHEROKEE HEALTH SYSTEMS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))120 HOSPITAL DR SUITE 230
JEFFERSON CITY, TN 37760
(865) 471-0312
1740415025JEFFERSON HEARTS CONSULTANTS
Organization
Clinic/Center120 HOSPITAL DR SUITE 250
JEFFERSON CITY, TN 37760
(865) 471-2570
1912289471 JANET COLLEEN HALL RN
Individual
Registered Nurse (Psychiatric/Mental Health)120 HOSPITAL DR SUITE 230
JEFFERSON CITY, TN 37760
(865) 471-0312
1558633370 VICKI LYNN MERRITT BA
Individual
Case Manager/Care Coordinator120 HOSPITAL DR SUITE 230
JEFFERSON CITY, TN 37760
(865) 471-0312
1942206776 CLYDE W WORLEY M.D.
Individual
Internal Medicine120 HOSPITAL DR STE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1104822816 LANCE S PATTON M.D.
Individual
Internal Medicine120 HOSPITAL DR STE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1275539835 JOHN AUSTIN KIRBY M.D.
Individual
Internal Medicine120 HOSPITAL DR STE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1558342915DR. EMMETT S MANLEY MD
Individual
Family Medicine120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1104808906DR. LEANN M BYRD MD
Individual
Family Medicine120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1508065269 RICHARD B CARTER JR. MD
Individual
Internal Medicine120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1073862124MS. SHERI AGATHA NSAMENANG M.S.
Individual
Student in an Organized Health Care Education/Training Program120 HOSPITAL DR SUITE 230
JEFFERSON CITY, TN 37760
(865) 471-0312
1801826417MRS. KIMBERLY ANNE LAY PAC
Individual
Physician Assistant120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1730461666 JACQUELINE S ZGIET NP
Individual
Nurse Practitioner120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1699107672 KEVIN DWAYNE HYATT B.S.
Individual
Student in an Organized Health Care Education/Training Program120 HOSPITAL DR SUITE 230
JEFFERSON CITY, TN 37760
(865) 471-0312
1538412333MRS. EVA HUNTSMAN FNP
Individual
Nurse Practitioner (Family)120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742
1699744854DR. JOHN JAY MCGRAW SR. M.D.
Individual
Orthopaedic Surgery120 HOSPITAL DR SUITE 250
JEFFERSON CITY, TN 37760
(865) 558-4400
1760774301DR. JESSICA DEANNE ALBRIGHT M.D.
Individual
Pediatrics120 HOSPITAL DR SUITE 130
JEFFERSON CITY, TN 37760
(865) 475-4742

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912963422, enumerated in the NPI registry as an "organization" on April 24, 2006

The provider is located at 120 Hospital Dr Suite 250 Jefferson City, Tn 37760 and the phone number is (865) 471-2644

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207V00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.