NPIMap

Organization Active NPI

Tribe513, PA

Doing business as Vida Gynecology

  • Obstetrics & Gynecology Physician
  • Greenville, SC
National Provider Identifier
1093265456
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TRIBE513, PA
Doing business as
Vida Gynecology
Practice address
274 Commonwealth Dr
Suite a
Greenville, SC 29615-4869
Phone
(864) 720-1299
Fax
(864) 720-1300
NPI assigned
Oct 10, 2016
Organization subpart
Yes
Parent organization
TRIBE513, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
Mrs. Melissa Kay Oostdyk
Title
Coordinator, Provider Relations
Phone
(864) 720-1299

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X

Addresses

Primary practice location

274 Commonwealth Dr
Suite a
Greenville, SC 29615-4869

Mailing address

274 Commonwealth Dr
Suite a
Greenville, SC 29615-4869
Phone (864) 720-1299

Other names 1

  • Vida Gynecology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tribe513 PA4 organizations share this tax ID, including this one
Part of
Tribe513 PA

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGCCDA

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1093265456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 COMMONWEALTH DR",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154869",
            "telephone_number": "864-720-1299",
            "fax_number": "864-720-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 COMMONWEALTH DR",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154869",
            "telephone_number": "864-720-1299",
            "fax_number": "864-720-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBE513, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIBE513, P.A.",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "OOSTDYK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "COORDINATOR, PROVIDER RELATIONS",
        "authorized_official_telephone_number": "864-720-1299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vida Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.