OB/GYN Physicians of Mid-Atlantic, PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

D38772 Issued in MD

Legal business name

OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC

Practice address

6188 Oxon Hill Rd Ste 603
Oxon Hill, MD 20745-3152

Phone

(301) 839-6300

Fax

(301) 839-3002

NPI assigned

May 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Ignatius Proctor Sr., MDNPI 1811903792

Title

Owner

Phone

(301) 839-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Stephen I Proctor, MD

  • Obstetrics & Gynecology Physician
  • Oxon Hill, MD
  • NPI 1811903792

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1083881973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 603",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453152",
            "telephone_number": "301-839-6300",
            "fax_number": "301-839-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 603",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453152",
            "telephone_number": "301-839-6300",
            "fax_number": "301-839-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-11",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "IGNATIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-839-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D38772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221881000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eberechukwu Ebunlomo Nwade, DDS
• Mercy Adero Nyamor, RPH
• Daniel Patrick O'Connell, M.D.
• David Glenn O'Neal, DDS
• Oak Healthcare Services LLC
• Adedayo Kehinde Odeyale, D.C.
• Anneke M Odland, PT
• Linda Oduh, PHARMD
• Victoria Ngozi Ogbuji, FNP-BC
• Babajide Ogundipe, PT

• Gynecology Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.