St. Marys Obstetrics & Gynecology, P. C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

GA022993 Issued in GA

Legal business name

ST. MARYS OBSTETRICS & GYNECOLOGY, P. C.

Doing business as

St. Marys OB/GYN, P. C.

Practice address

203 Lakeshore PT
Saint Marys, GA 31558-3843

Phone

(912) 729-6600

Fax

(912) 729-6616

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fareed Z Kadum, M.D.NPI 1760495840

Title

President

Phone

(912) 729-6600

Specialties & licenses 1

Addresses

Other names 1

• St. Marys OB/GYN, P. C. Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fareed Zakeer Kadum, MD

  • Obstetrics & Gynecology Physician
  • Williston, ND
  • NPI 1760495840
  NPD (past) Authorized official
• Steveq Kang, M.D.

  • Obstetrics & Gynecology Physician
  • Louisville, KY
  • NPI 1790734200
  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1073709432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LAKESHORE PT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583843",
            "telephone_number": "912-729-6600",
            "fax_number": "912-729-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 LAKESHORE PT",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583843",
            "telephone_number": "912-729-6600",
            "fax_number": "912-729-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS OBSTETRICS & GYNECOLOGY, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "KADUM",
        "authorized_official_first_name": "FAREED",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-729-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "GA022993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Marys OB/GYN, P. C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southeast Georgia Health System, Inc. (Southeast Georgia Health System - Camden Campus)
• Southeast Georgia Health System, Inc. (Senior Care Center - St. Marys)
• Southeast Georgia Radiology
• Bonnie Renee Spencer, LAPC
• Richard L Spencer, DDS
• St. Marys Psychiatry, Inc.
• Cassey St.Rose, LPC
• Stanley M. Prince, DMD,PC
• Hailey Ann Staszewski, DPT
• Karen Stedham Barber

• Obstetrics & Gynecology Physician in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.