NPIMap

Organization Active NPI

Baptist Obstetrics and Gynecology Inc

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1154620169
Registry record updated Mar 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME62735 Issued in FL
Legal business name
BAPTIST OBSTETRICS AND GYNECOLOGY INC
Practice address
12341 Yellow Bluff Rd
Jacksonville, FL 32226-2025
Phone
(904) 225-2779
Fax
(904) 225-8477
NPI assigned
Mar 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2011

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

Authorized official

Name
Earl B Mally
Title
Senior Vice President
Phone
(904) 376-4275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME62735 FL Primary

Addresses

Primary practice location

12341 Yellow Bluff Rd
Jacksonville, FL 32226-2025

Mailing address

12341 Yellow Bluff Rd
Jacksonville, FL 32226-2025
Phone (904) 225-2779

National Provider Directory

National Provider Directory
Tax ID family
Baptist Obstetrics and Gynecology Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300320000000",
    "number": "1154620169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12341 YELLOW BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262025",
            "telephone_number": "904-225-2779",
            "fax_number": "904-225-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12341 YELLOW BLUFF RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322262025",
            "telephone_number": "904-225-2779",
            "fax_number": "904-225-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST OBSTETRICS AND GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-17",
        "last_updated": "2011-03-17",
        "status": "A",
        "authorized_official_last_name": "MALLY",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "904-376-4275"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME62735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.