Organization Active NPI

Obstetrics & Gynecology Associate Physicians, P.C.

  • Obstetrics & Gynecology Physician
  • Bloomfield Hills, MI
National Provider Identifier
1265543318
Registry record updated Jul 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
430103648 Issued in MI
Legal business name
OBSTETRICS & GYNECOLOGY ASSOCIATE PHYSICIANS, P.C.
Practice address
2520 S Telegraph Rd
Suite 200
Bloomfield Hills, MI 48302-0285
Phone
(248) 335-9207
Fax
(248) 335-2394
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2011

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

Authorized official

Name
Dr. Telesforo E Garcia, M.D.
Title
President
Phone
(248) 335-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 430103648 MI Primary

Addresses

Primary practice location

2520 S Telegraph Rd
Suite 200
Bloomfield Hills, MI 48302-0285

Mailing address

2725 Warner Dr
W Bloomfield, MI 48324-2445
Phone (248) 360-7797

Other identifiers 5

IdentifierTypeStateIssuer
10-4520161MedicaidMI
10-4170054MedicaidMI
10-4609965MedicaidMI
104170036MedicaidMI
10-4170027MedicaidMI

Other names 1

  • OBGAP Other name

National Provider Directory

National Provider Directory

Locations

8091 Commerce Rd
Ste A
Commerce Township, MI 48382
Phone (248) 336-0100

9641 Commerce Rd
Commerce Township, MI 48382

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1265543318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 WARNER DR",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483242445",
            "telephone_number": "248-360-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S TELEGRAPH RD",
            "address_2": "SUITE 200",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020285",
            "telephone_number": "248-335-9207",
            "fax_number": "248-335-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY ASSOCIATE PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "TELESFORO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-335-9207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "430103648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4520161",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4170054",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4609965",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104170036",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-4170027",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBGAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

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