Organization Active NPI

Elizabeth Babcock, MD, PA

Doing business as WestEnd Medical and Aesthic Group

  • Legal Medicine
  • Gainesville, FL
National Provider Identifier
1477749422
Registry record updated Sep 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
ME72504 Issued in FL
Legal business name
ELIZABETH BABCOCK, MD, PA
Doing business as
WestEnd Medical and Aesthic Group
Practice address
100 SW 75TH St
Suite 103
Gainesville, FL 32607-5779
Phone
(352) 332-2990
Fax
(352) 332-7503
NPI assigned
Sep 23, 2007
Last updated
Sep 23, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2007

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

Authorized official

Name
Dr. Elizabeth Ann Babcock, M.D.NPI 1689667339
Title
Owner
Phone
(352) 332-2990

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
Legal Medicine 173000000X ME72504 FL Primary

Addresses

Primary practice location

100 SW 75TH St
Suite 103
Gainesville, FL 32607-5779

Mailing address

100 SW 75TH St
Suite 103
Gainesville, FL 32607-5779
Phone (352) 332-2990

Other names 1

  • WestEnd Medical and Aesthic Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519000773 FL Part B Supplier - Clinic/Group Practice 1658362637 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1015358Elizabeth Babcock MD PA100 SW 75TH St Ste 103, Gainesville, FL 32607Certificate of waiverJul 29, 2027

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, 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": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190505600000",
    "number": "1477749422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 103",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-332-2990",
            "fax_number": "352-332-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST",
            "address_2": "SUITE 103",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075779",
            "telephone_number": "352-332-2990",
            "fax_number": "352-332-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH BABCOCK, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2007-09-23",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-332-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME72504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WestEnd Medical and Aesthic Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.