OB GYN Care LLC
NPI 1790945103ActiveOrganization· Obstetrics & Gynecology· O Fallon, IL
Obstetrics & Gynecology in O Fallon, Illinois, registered in NPPES in June 2008. The authorized official on file is Bradley J. Tissier, MD, Member.
Overview
| NPI | 1790945103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 10, 2008 |
| Last updated in NPPES | Jun 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | 036097979 | IL |
| Surgery | 208600000X | 036097979 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other OB-GYNs in O Fallon
- 1508067596
- 1821731357
- 1134482656
- 1770711947
- 1730174277