Organization Active NPI

Florence Obstetrical and Gynecological Associates PA

  • Obstetrics & Gynecology Physician
  • Florence, SC
National Provider Identifier
1013934595
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
FLORENCE OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA
Practice address
1590 Freedom Blvd
Suite D
Florence, SC 29505-6042
Phone
(843) 662-3905
Fax
(843) 662-3952
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Authorized official

Name
Mrs. Michelle Murphy
Title
Office Andministrator
Phone
(843) 662-3905

Specialties & licenses 1

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

Addresses

Primary practice location

1590 Freedom Blvd
Suite D
Florence, SC 29505-6042

Mailing address

1590 Freedom Blvd
Suite D
Florence, SC 29505-6042
Phone (843) 662-3905

Other identifiers 1

IdentifierTypeStateIssuer
GP0436MedicaidSC

National Provider Directory

National Provider Directory

Locations

1590 Freedom Blvd
Ste D
Florence, SC 29505
Phone (803) 662-3905

Practitioners & affiliated clinicians

Practitioners 1

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": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1013934595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 FREEDOM BLVD",
            "address_2": "SUITE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056042",
            "telephone_number": "843-662-3905",
            "fax_number": "843-662-3952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 FREEDOM BLVD",
            "address_2": "SUITE D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295056042",
            "telephone_number": "843-662-3905",
            "fax_number": "843-662-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE OBSTETRICAL AND GYNECOLOGICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE ANDMINISTRATOR",
        "authorized_official_telephone_number": "843-662-3905",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0436",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.