Prince Georges OBGYN Associates PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

D0030235 Issued in MD

Legal business name

PRINCE GEORGES OBGYN ASSOCIATES PA

Practice address

4333 Old Branch Ave
Suite PG1
Temple Hills, MD 20748-1848

Phone

(301) 983-9366

Fax

(301) 983-3283

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard E. Blake, MD

Title

President

Phone

(301) 983-9366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dawna Dilworth-White, M.D.

  • Obstetrics & Gynecology Physician
  • Marlow Heights, MD
  • NPI 1821141292
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1528340197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8214 TUCKERMAN LN",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543744",
            "telephone_number": "301-983-9366",
            "fax_number": "301-983-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 OLD BRANCH AVE",
            "address_2": "SUITE PG1",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481848",
            "telephone_number": "301-983-9366",
            "fax_number": "301-983-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE GEORGES OBGYN ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-983-9366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0030235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obadiah J Peters, D.D.S.
• Iris Denise Phillips-Pulliam, LICSW
• Karl O Pilgrim, DDS
• Kimberly Pinkney
• Dorothy J Powell, DPM
• Angela M Proctor
• Andrea Karin Prosser, MD
• Protera Rehabilitation
• Pulmonary and Sleep Medicine, PA
• Quadri-Technology LTD

• Obstetrics & Gynecology Physician in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Obstetrics & Gynecology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.