Active NPI
Eastern Shore Gynecology, P.a
- Gynecology Physician
- Easton, MD
National Provider Identifier
1093862641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- D0056997
- Legal business name
- EASTERN SHORE GYNECOLOGY, P.A
- Practice address
- 598 Cynwood Dr # 105
Easton, MD 21601-3805 - Phone
- (410) 822-1221
- Fax
- (410) 819-8149
- NPI assigned
- Jan 5, 2007
- Last updated
- Jul 9, 2012
- 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
- William Henry Katz, MD
- Title
- Owner
- Phone
- (410) 822-1221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0025475 | MD | |
| Gynecology Physician | 207VG0400X | D0056997 | MD | Primary |
Addresses
Primary practice location
598 Cynwood Dr # 105
Easton, MD 21601-3805
Mailing address
598 Cynwood Dr # 105
Easton, MD 21601-3805
Phone (410) 822-1221
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093862641 | Other | MD | GROUP NPI |
| 1255339875 | Other | INDIVIDUAL NPI | |
| 1679571293 | Other | MD | INDIVIDUAL NPI |
| 1841395605 | Other | MD | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Gynecology Physician
- Easton, MD
- NPI 1255339875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341792000000",
"number": "1093862641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 CYNWOOD DR # 105",
"city": "EASTON",
"state": "MD",
"postal_code": "216013805",
"telephone_number": "410-822-1221",
"fax_number": "410-819-8149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 CYNWOOD DR # 105",
"city": "EASTON",
"state": "MD",
"postal_code": "216013805",
"telephone_number": "410-822-1221",
"fax_number": "410-819-8149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN SHORE GYNECOLOGY, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-05",
"last_updated": "2012-07-09",
"status": "A",
"authorized_official_last_name": "KATZ",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-822-1221",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "MD",
"license": "D0025475",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MD",
"license": "D0056997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1093862641",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1255339875",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1679571293",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1841395605",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Easton, MD
- Eastern Shore Acupuncture and Healing Arts LLC.
- Eastern Shore Chiropractic Center, Inc.
- Eastern Shore Emergency Medicine Physicians, LLC
- Eastern Shore Endoscopy, LLC
- Eastern Shore Foot and Ankle
- Eastern Shore Lithotripsy
- Eastern Shore Oncology PC
- Eastern Shore Psychological Services LLC
- Eastern Shore Psychological Services, LLC
- Eastern Shore Psychological Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.