NPIMap

Organization Active NPI

Coatesville Hospital Corporation

  • Obstetrics & Gynecology Physician
  • Coatesville, PA
National Provider Identifier
1063482065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COATESVILLE HOSPITAL CORPORATION
Practice address
217 Reeceville Rd
Ste a
Coatesville, PA 19320-1546
Phone
(610) 383-9400
Fax
(610) 383-9418
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary D. Newsome
Title
Group V.P.
Phone
(615) 465-7043

Specialties & licenses 1

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

Addresses

Primary practice location

217 Reeceville Rd
Ste a
Coatesville, PA 19320-1546

Mailing address

330 Franklin Rd
135A-502
Brentwood, TN 37027-3280
Phone (610) 383-6628

Other identifiers 1

IdentifierTypeStateIssuer
1857807MedicaidPA

Other names 1

  • Brandywine OB/GYN Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coatesville Hospital Co7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063482065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 FRANKLIN RD",
            "address_2": "135A-502",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273280",
            "telephone_number": "610-383-6628",
            "fax_number": "610-383-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 REECEVILLE RD",
            "address_2": "STE A",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193201546",
            "telephone_number": "610-383-9400",
            "fax_number": "610-383-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COATESVILLE HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "GROUP V.P.",
        "authorized_official_telephone_number": "615-465-7043",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1857807",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brandywine OB/GYN Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coatesville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.