Pregnancy Care Center of Grants Pass

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD17096 Issued in OR

Legal business name

PREGNANCY CARE CENTER OF GRANTS PASS

Practice address

714 S.E. 8TH St
Grants Pass, OR 97526

Phone

(541) 479-6264

Fax

(541) 474-2112

NPI assigned

Jan 14, 2014

Organization subpart

Yes

Parent organization

PREGNANCY CARE CENTER OF GRANTS PASSAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robin Dvell Fuller

Title

Executive Director

Phone

(541) 479-6264

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Pregnancy Care Center of Grants Pass

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1013339878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S.E. 8TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-479-6264",
            "fax_number": "541-474-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S.E. 8TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-479-6264",
            "fax_number": "541-474-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREGNANCY CARE CENTER OF GRANTS PASS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREGNANCY CARE CENTER OF GRANTS PASS",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DVELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-479-6264"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD17096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.