NPIMap

Organization Active NPI

OB-GYN Place, a Professional Association

  • Obstetrics & Gynecology Physician
  • Rockwall, TX
National Provider Identifier
1386722833
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB-GYN PLACE, A PROFESSIONAL ASSOCIATION
Practice address
901 Rockwall Pkwy
Rockwall, TX 75032-6502
Phone
(972) 772-3234
Fax
(972) 772-3834
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Dr. Jewell E. Malick, D.O.NPI 1588746556
Title
President
Phone
(972) 772-3234

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

901 Rockwall Pkwy
Rockwall, TX 75032-6502

Mailing address

901 Rockwall Pkwy
Rockwall, TX 75032-6502
Phone (972) 772-3234

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1386722833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ROCKWALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326502",
            "telephone_number": "972-772-3234",
            "fax_number": "972-772-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ROCKWALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326502",
            "telephone_number": "972-772-3234",
            "fax_number": "972-772-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN PLACE, A PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "MALICK",
        "authorized_official_first_name": "JEWELL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-772-3234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "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 Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.