Organization Active NPI

Womens Center OB GYN Assoc LLC

  • Obstetrics & Gynecology Physician
  • Ellicott City, MD
National Provider Identifier
1013930981
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMENS CENTER OB GYN ASSOC LLC
Practice address
3454 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4113
Phone
(410) 465-4690
Fax
(410) 465-8144
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mary C Pataki
Title
Office Manager
Phone
(410) 465-4690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD Primary

Addresses

Primary practice location

3454 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4113

Mailing address

3454 Ellicott Center Dr
Suite 103
Ellicott City, MD 21043-4113
Phone (410) 465-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000156 MD Part B Supplier - Clinic/Group Practice 4486695996 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1013930981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 ELLICOTT CENTER DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434113",
            "telephone_number": "410-465-4690",
            "fax_number": "410-465-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 ELLICOTT CENTER DR",
            "address_2": "SUITE 103",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434113",
            "telephone_number": "410-465-4690",
            "fax_number": "410-465-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CENTER OB GYN ASSOC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "PATAKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-465-4690"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.