Organization Active NPI

OBGYN Care

  • Obstetrics & Gynecology Physician
  • Crystal River, FL
National Provider Identifier
1417378472
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME118153 Issued in FL
Legal business name
OBGYN CARE
Practice address
6310 N Obsidian Cir
Crystal River, FL 34428-6636
Phone
(352) 564-0697
NPI assigned
Dec 18, 2013
Last updated
Dec 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Anastasia Solovieva, MDNPI 1437134335
Title
Owner
Phone
(352) 564-0697

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 ME118153 FL Primary

Addresses

Primary practice location

6310 N Obsidian Cir
Crystal River, FL 34428-6636

Mailing address

760 SE 5TH Ter
Crystal River, FL 34429-4852
Phone (352) 564-0697

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141029001848 FL Part B Supplier - Clinic/Group Practice 5193946424 Receives reassigned benefits from 1 practitioner
Practice locations: Crystal River, FL

National Provider Directory

National Provider Directory

Locations

1919 NW US Highway 19
Crystal River, FL 34428
Phone (352) 564-0697

760 SE 5th Ter
Crystal River, FL 34429
Phone (352) 417-0238

Practitioners & affiliated clinicians

Practitioners 1

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": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1417378472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SE 5TH TER",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294852",
            "telephone_number": "352-564-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 N OBSIDIAN CIR",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344286636",
            "telephone_number": "352-564-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "SOLOVIEVA",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-564-0697",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME118153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.