NPIMap

Organization Active NPI

Capital City OB-GYN Associates PA

  • Obstetrics & Gynecology Physician
  • Columbia, SC
National Provider Identifier
1477690782
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15829 Issued in SC
Legal business name
CAPITAL CITY OB-GYN ASSOCIATES PA
Practice address
1301 Taylor Street Suite 4K
Columbia, SC 29201
Phone
(803) 254-7004
Fax
(803) 254-7057
NPI assigned
Jan 30, 2007
Last updated
Dec 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Mr. Mojmir J Sonek, MDNPI 1174592885
Title
Owner
Phone
(803) 254-7004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU
Obstetrics & Gynecology Physician 207V00000X 15829 SC Primary

Addresses

Primary practice location

1301 Taylor Street Suite 4K
Columbia, SC 29201

Mailing address

1301 Taylor Street Suite 4K
Columbia, SC 29201
Phone (803) 254-7004

Other identifiers 1

IdentifierTypeStateIssuer
GP0691MedicaidSC

National Provider Directory

National Provider Directory

Locations

1301 Taylor St
Ste 4K
Columbia, SC 29201
Phone (803) 254-7004

Practitioners & affiliated clinicians

Practitioners 2

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1477690782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR STREET SUITE 4K",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-254-7004",
            "fax_number": "803-254-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 TAYLOR STREET SUITE 4K",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29201",
            "telephone_number": "803-254-7004",
            "fax_number": "803-254-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY OB-GYN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "SONEK",
        "authorized_official_first_name": "MOJMIR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-254-7004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "15829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0691",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.