Vidalia OB GYN

Primary specialty

Independent Medical Examiner PhysicianTaxonomy code 202C00000X

License

044832 Issued in GA

Legal business name

VIDALIA OB GYN

Practice address

1707 Meadows Lane
Vidalia, GA 30474

Phone

(912) 538-1500

Fax

(912) 538-1501

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Alexander Rutz, Jr., M.D.

Title

President

Phone

(912) 538-1500

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Molly Jane McQuigg, MD

  • Obstetrics & Gynecology Physician
  • Fishersville, VA
  • NPI 1821152117
  NPD (past)
• Joseph Alexander Rutz Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Texarkana, TX
  • NPI 1023195310
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437356359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MEADOWS LANE",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-538-1500",
            "fax_number": "912-538-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MEADOWS LANE",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "30474",
            "telephone_number": "912-538-1500",
            "fax_number": "912-538-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDALIA OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTZ, JR.",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-538-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Independent Medical Examiner",
            "state": "GA",
            "license": "044832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidalia Immediate & Primary Care LLC
• Vidalia Lab Services, Inc
• Vidalia Medical Associates, PC
• Vidalia Medical Partners Inc.
• Vidalia Neurology Associates, LLC
• Vidalia Open MRI, LLC
• Vidalia Oral and Maxillofacial Surgery, P.C.
• Vidalia Orthopedic Center, LLC
• Vidalia Pharmacy Inc
• Vidalia Pulmonology Center, LLC

• Independent Medical Examiner Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Independent Medical Examiner Physician in Georgia

• 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.