Organization Active NPI

George T Besong MD OB/GYN LLC

Doing business as Women's Health Resource Center

  • Obstetrics & Gynecology Physician
  • Orange City, FL
National Provider Identifier
1316231608
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GEORGE T BESONG MD OB/GYN LLC
Doing business as
Women's Health Resource Center
Practice address
2728 Enterprise Rd
Suite 200
Orange City, FL 32763-8276
Phone
(386) 774-0109
Fax
(386) 774-1203
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Dr. George Tataw Besong, M.D
Title
Owner
Phone
(386) 279-0060

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X ME123086 FL
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME123086 FL
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X FL Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VF0040X ME92729 FL

Addresses

Primary practice location

2728 Enterprise Rd
Suite 200
Orange City, FL 32763-8276

Mailing address

2728 Enterprise Rd
Suite 200
Orange City, FL 32763-8276
Phone (386) 774-0109

Other names 1

  • Women's Health Resource Center Doing business as

National Provider Directory

National Provider Directory

Locations

810 N Spring Garden Ave
Ste 200
Deland, FL 32720
Phone (386) 774-0109

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1316231608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ENTERPRISE RD",
            "address_2": "SUITE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638276",
            "telephone_number": "386-774-0109",
            "fax_number": "386-774-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ENTERPRISE RD",
            "address_2": "SUITE 200",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638276",
            "telephone_number": "386-774-0109",
            "fax_number": "386-774-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE T BESONG MD OB/GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "BESONG",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "TATAW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-279-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME123086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123086",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME92729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Health Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.