Anderson Obstetrics & Gynecology, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

22432 Issued in WV

Legal business name

ANDERSON OBSTETRICS & GYNECOLOGY, PLLC

Practice address

94 Old Mill Rd
Martinsburg, WV 25401-9284

Phone

(681) 260-2016

Fax

(681) 260-2020

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Stacey A Anderson, MDNPI 1760403216

Title

Owner

Phone

(681) 260-2016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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

• Stacey A Anderson, M.D.

  • Obstetrics & Gynecology Physician
  • Hamilton, NJ
  • NPI 1760403216

  WV

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1265818694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLD MILL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019284",
            "telephone_number": "681-260-2016",
            "fax_number": "681-260-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 OLD MILL RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254019284",
            "telephone_number": "681-260-2016",
            "fax_number": "681-260-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON OBSTETRICS & GYNECOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "681-260-2016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "22432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina NMN Ambrose
• Steven Allen Ambrose Jr.
• American Family Matters LLC
• Saad Muhammad Amin
• Molly Anna Anaya, NP-C
• Amber R Anderson, BS PSYCHOLOGY
• Charienne Patricia Anderson
• Lia Anderson, DPT
• Rose Anderson
• Tristin Andre

• Obstetrics & Gynecology Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Obstetrics & Gynecology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.