NPIMap

Organization Active NPI

Obstetrics and Gynecology Associates of the Eastern Shore, Inc.

  • Obstetrics & Gynecology Physician
  • Nassawadox, VA
National Provider Identifier
1316975113
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBSTETRICS AND GYNECOLOGY ASSOCIATES OF THE EASTERN SHORE, INC.
Practice address
10243 Rogers Drive
Nassawadox, VA 23413-0836
Phone
(757) 442-6719
Fax
(757) 442-7375
NPI assigned
Jun 29, 2006
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
David R Scott, MDNPI 1447219498
Title
President/Owner
Phone
(757) 442-6719

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 Physician 207V00000X NU Primary

Addresses

Primary practice location

10243 Rogers Drive
Nassawadox, VA 23413-0836

Mailing address

PO Box 836
Nassawadox, VA 23413-0836
Phone (757) 442-6719

Other identifiers 2

IdentifierTypeStateIssuer
CN3911OtherVARAILROAD MEDICARE PTAN
C02245OtherVAMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1316975113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130836",
            "telephone_number": "757-442-6719",
            "fax_number": "757-442-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 ROGERS DRIVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130836",
            "telephone_number": "757-442-6719",
            "fax_number": "757-442-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS AND GYNECOLOGY ASSOCIATES OF THE EASTERN SHORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "757-442-6719",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CN3911",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C02245",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nassawadox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.