Summit OB GYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

203547 Issued in LA

Legal business name

SUMMIT OB GYN LLC

Practice address

655 Bienville Cir
Natchitoches, LA 71457-5744

Phone

(318) 238-4010

NPI assigned

Feb 19, 2010

Last updated

Mar 11, 2010By 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

Moshood Olatunde Olatinwo, MDNPI 1730189952

Title

Physician

Phone

(318) 238-4010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 3

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.

• Moshood Olatinwo, MD

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1730189952
  Medicare reassignment NPD Authorized official
• Barbara W McCoy, MIDWIFE, WHNP

  • Midwife
  • Shreveport, LA
  • NPI 1801935580
  Medicare reassignment NPD
• Haley Chambliss Johnson

  • Family Nurse Practitioner
  • Natchitoches, LA
  • NPI 1427408137
  Medicare reassignment

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1124340054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2478",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572478",
            "telephone_number": "251-545-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BIENVILLE CIR",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575744",
            "telephone_number": "318-238-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT OB GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "OLATINWO",
        "authorized_official_first_name": "MOSHOOD",
        "authorized_official_middle_name": "OLATUNDE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "318-238-4010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "203547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Nichelle Strickland, PHARMD
• Stephen H Stricklin, PHARMD
• Mitchell William Sullivan, OD
• Katie Summerell, MA
• Angela Dawn Summerlin, CAC
• Natalie Elizabeth Swick, ATC
• Sue Ann Taylor, PMHNP
• Yalonda Taylor
• Ted a. Methvin DDS, a Dental Corporation
• Therateam, LLC

• Obstetrics & Gynecology Physician in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.