Organization Active NPI

Regional Obstetric Consultants

  • Maternal & Fetal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1215078977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
REGIONAL OBSTETRIC CONSULTANTS
Practice address
836 Prudential Dr
Suite 1800
Jacksonville, FL 32207-8334
Phone
(904) 398-7684
Fax
(904) 398-4998
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Diane Kaye Thrasher
Title
Office Manager
Phone
(904) 398-7684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

836 Prudential Dr
Suite 1800
Jacksonville, FL 32207-8334

Mailing address

836 Prudential Dr
Suite 1800
Jacksonville, FL 32207-8334
Phone (904) 398-7684

Other identifiers 1

IdentifierTypeStateIssuer
77611OtherFLBLUE CROSS BLUE SHHIELD

National Provider Directory

National Provider Directory

Locations

400 N Clyde Morris Blvd
Fl 3
Daytona Beach, FL 32114

836 Prudential Dr
Ste 1800
Jacksonville, FL 32207
Phone (904) 398-7684

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215078977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR",
            "address_2": "SUITE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078334",
            "telephone_number": "904-398-7684",
            "fax_number": "904-398-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 PRUDENTIAL DR",
            "address_2": "SUITE 1800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078334",
            "telephone_number": "904-398-7684",
            "fax_number": "904-398-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL OBSTETRIC CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THRASHER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-398-7684",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHHIELD",
            "identifier": "77611",
            "state": "FL"
        }
    ],
    "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 Aug 22, 2020; 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.