OrganizationActive
Bolivar Ob/Gyn
NPI 1720402175 · Obstetrics & Gynecology Physician · Bolivar, MO
Provider details
- NPI number
- 1720402175
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Signature Medical Group
- Organization subpart
- Yes
- Authorized official
- Debra Volcko, Business Manager(417) 777-8131
- License
- 2013021740 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1165 N Butterfield Rd
Suite B
Bolivar, MO 65613-1056
Phone: (417) 777-8131
Fax: (417) 777-8892
Street-level locationGet directions
Mailing address
1165 N Butterfield Rd
Bolivar, MO 65613-1056
Other names (DBA / former)
- Doing business as
- Bolivar Ob/Gyn
Registry dates
- Enumerated
- 2014-02-05
- Last updated
- 2014-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.