Organization Active NPI

Gyne Health Obstetrics & Gynecology LLC

  • Obstetrics & Gynecology Physician
  • Alexandria, VA
National Provider Identifier
1215376025
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101244682 Issued in VA
Legal business name
GYNE HEALTH OBSTETRICS & GYNECOLOGY LLC
Practice address
2807 Duke St
Alexandria, VA 22314-4512
Phone
(401) 419-5998
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Authorized official

Name
Dr. Eteakamba Udoh, MD
Title
Director
Phone
(401) 419-5998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101244682 VA Primary

Addresses

Primary practice location

2807 Duke St
Alexandria, VA 22314-4512

Mailing address

9202 Silverose CT
Fairfax Station, VA 22039-3116
Phone (401) 419-5998

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1215376025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9202 SILVEROSE CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220393116",
            "telephone_number": "401-419-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144512",
            "telephone_number": "401-419-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNE HEALTH OBSTETRICS & GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "UDOH",
        "authorized_official_first_name": "ETEAKAMBA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-419-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101244682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.