Organization Active NPI

Village OB GYN Associates, LLC

  • Specialist
  • Pikesville, MD
National Provider Identifier
1518158898
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D46131 Issued in MD
Legal business name
VILLAGE OB GYN ASSOCIATES, LLC
Practice address
37 Walker Ave
Pikesville, MD 21208-4004
Phone
(410) 653-6500
Fax
(410) 653-6511
NPI assigned
Aug 5, 2007
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Joel Franklin Pleeter, M.D.NPI 1013050467
Title
Managing Partner
Phone
(410) 653-6500

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
Specialist 174400000X D46131 MD Primary

Addresses

Primary practice location

37 Walker Ave
Pikesville, MD 21208-4004

Mailing address

37 Walker Ave
Pikesville, MD 21208-4004
Phone (410) 653-6500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070830000559 MD Part B Supplier - Clinic/Group Practice 8022101450 Receives reassigned benefits from 3 practitioners
Practice locations: Pikesville, MD

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
21D0217593Village OB/GYN Associates, LLC37 Walker Avenue, Pikesville, MD 21208Provider-performed microscopySep 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Village OB GYN Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1518158898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 WALKER AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084004",
            "telephone_number": "410-653-6500",
            "fax_number": "410-653-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 WALKER AVE",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212084004",
            "telephone_number": "410-653-6500",
            "fax_number": "410-653-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OB GYN ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "PLEETER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "410-653-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D46131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikesville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.