Active NPI
Advanced OBGYN PC
- Obstetrics & Gynecology Physician
- Huntsville, AL
National Provider Identifier
1194128330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 22430
- Legal business name
- ADVANCED OBGYN PC
- Practice address
- 250 Chateau Dr SW
Ste 100
Huntsville, AL 35801-6436 - Phone
- (256) 881-9997
- Fax
- (256) 880-3838
- NPI assigned
- Oct 2, 2014
- Last updated
- Nov 6, 2014
- 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
- Michael M Conrad, M.D.
- Title
- Owner
- Phone
- (256) 881-9997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 22430 | AL | Primary |
Addresses
Primary practice location
250 Chateau Dr SW
Ste 100
Huntsville, AL 35801-6436
Mailing address
250 Chateau Dr SW
Ste 100
Huntsville, AL 35801-6436
Phone (256) 881-9997
National Provider Directory
National Provider Directory- Tax ID family
- Advanced OBGYN PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Huntsville, AL
- NPI 1215118104
Practitioners & 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.
-
- Obstetrics & Gynecology Physician
- Huntsville, AL
- NPI 1235367038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415232000000",
"number": "1194128330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 CHATEAU DR SW",
"address_2": "STE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016436",
"telephone_number": "256-881-9997",
"fax_number": "256-880-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CHATEAU DR SW",
"address_2": "STE 100",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016436",
"telephone_number": "256-881-9997",
"fax_number": "256-880-3838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED OBGYN PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-02",
"last_updated": "2014-11-06",
"status": "A",
"authorized_official_last_name": "CONRAD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-881-9997",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "22430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
- Adriane M Howard LLC
- Advanced Behavioral Health
- Advanced Health Management, LLC
- Advanced Medical Clinics, LLC
- Advanced Medical Equipment LLC
- Advanced OBGYN PC
- Advantage Family Care, Inc. (Huntsville Hospital Urgent Care - Bailey Cove)
- Advantage Family Care, Inc. (Huntsville Hospital Urgent Care - Huntsville)
- Advantage Health Solutions,LLC (Complete Medical Health)
- Advantage Health Solutions,LLC (Mission Square Medical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.