Active NPI
OB & GYN of N E FL PA
- Obstetrics & Gynecology Physician
- Palatka, FL
National Provider Identifier
1023311727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB & GYN OF N E FL PA
- Practice address
- 700 Zeagler Dr
Ste 3
Palatka, FL 32177-6806 - Phone
- (386) 530-2380
- Fax
- (386) 530-2381
- NPI assigned
- Dec 19, 2010
- Last updated
- Mar 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Laila B Needham, MD
- Title
- Owner
- Phone
- (386) 530-2380
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
700 Zeagler Dr
Ste 3
Palatka, FL 32177-6806
Mailing address
PO Box 658
Palatka, FL 32178-0658
Phone (386) 530-2380
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EL011B | Other | FL | MEDICARE - ST. AUGUSTINE LOCATION |
| EL011A | Other | FL | MEDICARE - PALATKA LOCATION |
| 000947900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
6100 Saint Johns Ave
Ste 2
Palatka, FL 32177
Phone (386) 530-2380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362182400000",
"number": "1023311727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "PALATKA",
"state": "FL",
"postal_code": "321780658",
"telephone_number": "386-530-2380",
"fax_number": "386-530-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ZEAGLER DR",
"address_2": "STE 3",
"city": "PALATKA",
"state": "FL",
"postal_code": "321776806",
"telephone_number": "386-530-2380",
"fax_number": "386-530-2381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB & GYN OF N E FL PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-19",
"last_updated": "2013-03-02",
"status": "A",
"authorized_official_last_name": "NEEDHAM",
"authorized_official_first_name": "LAILA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-530-2380",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - ST. AUGUSTINE LOCATION",
"identifier": "EL011B",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - PALATKA LOCATION",
"identifier": "EL011A",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000947900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palatka, FL
- Northeast Florida Cardiology PA
- Northland Hearing Center, Inc.
- Northland Hearing Centers, Inc. (US Hearing Centers)
- O.a.Saver LLC (Saver Physical Therapy)
- Geoffrey O'Donoghue, PHARMD
- Catharina Jacoba Oberholzer
- Obstetrics & Gynecology Associates of St. Augustine, LLC
- Karen Ruth Okelly, MD
- Omni Home Health- Hernando, LLC (SunCrest OMNI)
- Optical Shop of Palatka Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.