NPIMap

Organization Active NPI

Houston OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Warner Robins, GA
National Provider Identifier
1245565985
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
041455 Issued in GA
Legal business name
HOUSTON OB/GYN, LLC
Practice address
1570 Watson Blvd
Suite 100
Warner Robins, GA 31093-3432
Phone
(478) 923-6462
Fax
(478) 923-6215
NPI assigned
Oct 14, 2009
Last updated
Aug 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Carlo C. Lee, MDNPI 1083619779
Title
Owner/Physician
Phone
(478) 923-6462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 041455 GA Primary

Addresses

Primary practice location

1570 Watson Blvd
Suite 100
Warner Robins, GA 31093-3432

Mailing address

PO Box 2426
Warner Robins, GA 31099-2426
Phone (478) 923-6462

National Provider Directory

National Provider Directory

Locations

151 S Houston Lake Rd
#100
Warner Robins, GA 31088

1570 Watson Blvd
Ste 100
Warner Robins, GA 31093
Phone (478) 923-6216

1570 Watson Blvd
Ste 102
Warner Robins, GA 31093

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1245565985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2426",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310992426",
            "telephone_number": "478-923-6462",
            "fax_number": "478-923-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 WATSON BLVD",
            "address_2": "SUITE 100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933432",
            "telephone_number": "478-923-6462",
            "fax_number": "478-923-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON OB/GYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CARLO",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-923-6462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "041455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.