Ob Gyn Care LLC
NPI 1790945103 · Obstetrics & Gynecology Physician · O Fallon, IL
Ob Gyn Care LLC is a Obstetrics & Gynecology Physician organization in O Fallon, IL (NPI 1790945103).
Provider details
- NPI number
- 1790945103
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bradley Tissier, Member(618) 628-1717
- License
- 036097979 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
Mailing address
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2008-06-10
Frequently asked questions
- What is Ob Gyn Care LLC's NPI number?
- Ob Gyn Care LLC's National Provider Identifier (NPI) is 1790945103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ob Gyn Care LLC?
- Ob Gyn Care LLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Ob Gyn Care LLC located?
- Ob Gyn Care LLC's practice location on file with NPPES is 1512 N Green Mount Rd, O Fallon, IL 62269-1953.
- What is Ob Gyn Care LLC's phone number?
- The practice phone number listed in the NPPES registry for Ob Gyn Care LLC is (618) 628-1717.
- Who is the authorized official for Ob Gyn Care LLC?
- The authorized official listed on Ob Gyn Care LLC's NPPES record is Bradley Tissier, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ob Gyn Care LLC's NPI active?
- Yes — Ob Gyn Care LLC's NPI (1790945103) is active in the NPPES registry as of the last update on 2008-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.