Organization Active NPI

Dickinson OB-GYN Association, P.a.

  • Obstetrics & Gynecology Physician
  • League City, TX
National Provider Identifier
1356463384
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DICKINSON OB-GYN ASSOCIATION, P.A.
Practice address
2450 S Shore Blvd
Suite 215
League City, TX 77573-2994
Phone
(281) 334-6875
Fax
(281) 334-0664
NPI assigned
Apr 3, 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
Michael Anthony Magliolo, M.D.NPI 1801894928
Title
President
Phone
(281) 334-6875

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 Primary

Addresses

Primary practice location

2450 S Shore Blvd
Suite 215
League City, TX 77573-2994

Mailing address

2450 S Shore Blvd
Suite 215
League City, TX 77573-2994
Phone (281) 334-6875

National Provider Directory

National Provider Directory

Locations

2450 S Shore Blvd
Ste 215
League City, TX 77573
Phone (218) 334-6875

Practitioners & affiliated clinicians

Practitioners 2

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356463384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S SHORE BLVD",
            "address_2": "SUITE 215",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732994",
            "telephone_number": "281-334-6875",
            "fax_number": "281-334-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S SHORE BLVD",
            "address_2": "SUITE 215",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732994",
            "telephone_number": "281-334-6875",
            "fax_number": "281-334-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKINSON OB-GYN ASSOCIATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAGLIOLO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-334-6875",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

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.