Organization Active NPI

OBGYN Center of Frederick, P.a.

  • Obstetrics & Gynecology Physician
  • Frederick, MD
National Provider Identifier
1265414023
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBGYN CENTER OF FREDERICK, P.A.
Practice address
97 Thomas Johnson Dr
Suite 101
Frederick, MD 21702-4373
Phone
(301) 663-4545
Fax
(301) 663-1709
NPI assigned
Nov 17, 2005
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Edwin Chen, MDNPI 1144202995
Title
President
Phone
(301) 663-4545

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 Physician 207V00000X Primary

Addresses

Primary practice location

97 Thomas Johnson Dr
Suite 101
Frederick, MD 21702-4373

Mailing address

97 Thomas Johnson Dr
Suite 101
Frederick, MD 21702-4373
Phone (301) 663-4545

Other identifiers 1

IdentifierTypeStateIssuer
187LOtherMDMEDICARE GROUP PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

97 Thomas Johnson Dr
Ste 101
Frederick, MD 21702
Phone (301) 663-4545

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1265414023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR",
            "address_2": "SUITE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024373",
            "telephone_number": "301-663-4545",
            "fax_number": "301-663-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR",
            "address_2": "SUITE 101",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024373",
            "telephone_number": "301-663-4545",
            "fax_number": "301-663-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN CENTER OF FREDERICK, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-663-4545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "187L",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.