Organization Active NPI

OB GYN Associates LLC

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1285751263
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB GYN ASSOCIATES LLC
Practice address
1140 SW 44TH St
Oklahoma City, OK 73109-3602
Phone
(405) 632-1730
Fax
(405) 632-2640
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Mrs. Traci Pippin
Title
Billing Manager
Phone
(405) 606-7425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1140 SW 44TH St
Oklahoma City, OK 73109-3602

Mailing address

1140 SW 44TH St
Oklahoma City, OK 73109-3602
Phone (405) 632-1730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070808000062 OK Part B Supplier - Clinic/Group Practice 9537250378 Receives reassigned benefits from 3 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

1140 SW 44th St
Oklahoma City, OK 73109
Phone (405) 632-1730

6501 S Western Ave
Ste 101
Oklahoma City, OK 73139

Practitioners & affiliated clinicians

Practitioners 5

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1285751263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SW 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093602",
            "telephone_number": "405-632-1730",
            "fax_number": "405-632-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SW 44TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093602",
            "telephone_number": "405-632-1730",
            "fax_number": "405-632-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB GYN ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "PIPPIN",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "405-606-7425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.