Woodbury Obstetrics & Gynecology

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WOODBURY OBSTETRICS & GYNECOLOGY

Practice address

8360 City Centre Dr
Suite 120
Woodbury, MN 55125-3381

Phone

(651) 739-2182

Fax

(651) 739-2045

NPI assigned

Oct 16, 2006

Organization subpart

No

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

Authorized official

Name

Jerald Barnard, MDNPI 1902980394

Title

President

Phone

(651) 739-1848

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jerald M Barnard, MD

  • Obstetrics & Gynecology Physician
  • Rice Lake, WI
  • NPI 1902980394
  NPD (past) Authorized official

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1215017405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8360 CITY CENTRE DR",
            "address_2": "SUITE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253381",
            "telephone_number": "631-739-2182",
            "fax_number": "651-739-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8360 CITY CENTRE DR",
            "address_2": "SUITE 120",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551253381",
            "telephone_number": "651-739-2182",
            "fax_number": "651-739-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY OBSTETRICS & GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BARNARD",
        "authorized_official_first_name": "JERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-739-1848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "183R5W0",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.