OrganizationActive
Springfield Ob-Gyn, LLC
NPI 1700804697 · Obstetrics & Gynecology Physician · Springfield, MO
Provider details
- NPI number
- 1700804697
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Ting, Medical Doctor(417) 882-4466
- License
- 113753 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
909 E Montclair St
Suite 120
Springfield, MO 65807-5068
Phone: (417) 882-4466
Fax: (417) 890-5631
Street-level locationGet directions
Mailing address
909 E Montclair St
Springfield, MO 65807-5068
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.