Organization Active NPI

Richmond OB GYN PA

  • Obstetrics & Gynecology Physician
  • Rockingham, NC
National Provider Identifier
1457348732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29343 Issued in NC
Legal business name
RICHMOND OB GYN PA
Practice address
921 S Long Dr
Ste 207
Rockingham, NC 28379-4874
Phone
(910) 417-3477
Fax
(910) 417-3489
NPI assigned
Oct 3, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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
Patricia L Middleton, MD FACSNPI 1306800768
Title
President
Phone
(910) 417-3477

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 29343 NC Primary

Addresses

Primary practice location

921 S Long Dr
Ste 207
Rockingham, NC 28379-4874

Mailing address

PO Box 304
Rockingham, NC 28380-0304
Phone (910) 417-3477

Other identifiers 2

IdentifierTypeStateIssuer
58798OtherNCBCBS
8958798MedicaidNC

National Provider Directory

National Provider Directory

Locations

921 S Long Dr
Ste 204
Rockingham, NC 28379
Phone (910) 417-3477

921 S Long Dr
Ste 207
Rockingham, NC 28379
Phone (910) 417-3477

Practitioners & affiliated clinicians

Practitioners 4

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": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457348732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283800304",
            "telephone_number": "910-417-3477",
            "fax_number": "910-417-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 S LONG DR",
            "address_2": "STE 207",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794874",
            "telephone_number": "910-417-3477",
            "fax_number": "910-417-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND OB GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-417-3477",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "29343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58798",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958798",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

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.