NPIMap

Organization Active NPI

Atlantic Obstetrics & Gynocology

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1114089075
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101043703 Issued in VA
Legal business name
ATLANTIC OBSTETRICS & GYNOCOLOGY
Practice address
3720 Holland Rd
Suite 101
Virginia Beach, VA 23452-2859
Phone
(757) 463-1234
Fax
(757) 463-0453
NPI assigned
Dec 15, 2006
Organization subpart
Yes
Parent organization
ATLANTIC OBSTETRICS & GYNOCOLOGYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Dr. Timothy Joseph Hardy, MDNPI 1487662748
Title
President
Phone
(757) 463-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101043703 VA Primary

Addresses

Primary practice location

3720 Holland Rd
Suite 101
Virginia Beach, VA 23452-2859

Mailing address

3720 Holland Rd
Suite 101
Virginia Beach, VA 23452-2859
Phone (757) 463-1234

Other identifiers 1

IdentifierTypeStateIssuer
6242103MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000138 VA Part B Supplier - Clinic/Group Practice 6608800149 Receives reassigned benefits from 2 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory
Part of
Atlantic OBGYN GRP

Locations

3720 Holland Rd
Ste 101
Virginia Beach, VA 23452
Phone (757) 463-1234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5623/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1114089075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 HOLLAND RD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522859",
            "telephone_number": "757-463-1234",
            "fax_number": "757-463-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 HOLLAND RD",
            "address_2": "SUITE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522859",
            "telephone_number": "757-463-1234",
            "fax_number": "757-463-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC OBSTETRICS & GYNOCOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC OBSTETRICS & GYNOCOLOGY",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-463-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101043703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6242103",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.