OrganizationActive
Ovum Medical, LLC
NPI 1205536703 · Complex Family Planning Physician · Sagle, ID
Provider details
- NPI number
- 1205536703
- Entity type
- Organization
- Primary specialty
- Complex Family Planning PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Alice Crisci, Ceo(310) 927-1017
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Dietitian133V00000X
Dietary & Nutritional Service Providers
- Case Management Registered Nurse163WC0400X
Nursing Service Providers
- Lactation Consultant (Registered Nurse)163WL0100X
Nursing Service Providers
- High-Risk Obstetric Registered Nurse163WX0002X
Nursing Service Providers
- Ph.D. Medical Genetics170100000X
Other Service Providers
- Genetic Counselor (M.S.)170300000X
Practice location
929 Irish Rd
Sagle, ID 83860-5031
Phone: (208) 217-1102
Approximate (ZIP-level) locationGet directions
Mailing address
929 Irish Rd
Sagle, ID 83860-5031
Additional practice locations (1)
- 3458 Lakeshore DrTallahassee, FL 32312-1485Phone: (307) 284-3227Fax: (659) 202-7955
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-12-29
- Certified
- 2023-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.