NPIMap

Organization Active NPI

Maysville Obstetric & Gynecologic Associates PSC

  • Obstetrics & Gynecology Physician
  • Maysville, KY
National Provider Identifier
1265566749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MAYSVILLE OBSTETRIC & GYNECOLOGIC ASSOCIATES PSC
Practice address
991 Medical Park Dr
Suite 309
Maysville, KY 41056-8764
Phone
(606) 759-5331
Fax
(606) 759-5363
NPI assigned
Mar 15, 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
Dr. Donald R Wilson, M. D.NPI 1912970336
Title
President
Phone
(606) 759-5331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

991 Medical Park Dr
Suite 309
Maysville, KY 41056-8764

Mailing address

991 Medical Park Dr
Suite 309
Maysville, KY 41056-8764
Phone (606) 759-5331

Other identifiers 2

IdentifierTypeStateIssuer
0537100MedicaidOH
65908980MedicaidKY

Other names 1

  • Maysville Ob-Gyn Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265566749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "address_2": "SUITE 309",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-5331",
            "fax_number": "606-759-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MEDICAL PARK DR",
            "address_2": "SUITE 309",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568764",
            "telephone_number": "606-759-5331",
            "fax_number": "606-759-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYSVILLE OBSTETRIC & GYNECOLOGIC ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-759-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537100",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65908980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maysville Ob-Gyn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maysville, KY

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.