Meadville Obstetrics and Gynecology Associates

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES

Practice address

765 Liberty Street
Suite 202
Meadville, PA 16335

Phone

(814) 333-5888

Fax

(814) 333-5026

NPI assigned

Apr 7, 2006

Organization subpart

No

Name

Sidney Kwokyin King, MD

Title

President

Phone

(814) 333-5888

Locations

• Meadville OB/GYN Associates Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2011.

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1598728024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 LIBERTY STREET",
            "address_2": "SUITE 202",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5888",
            "fax_number": "814-333-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 LIBERTY STREET",
            "address_2": "SUITE 202",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "16335",
            "telephone_number": "814-333-5888",
            "fax_number": "814-333-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADVILLE OBSTETRICS AND GYNECOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "KWOKYIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-333-5888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017096170002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "433802",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadville OB/GYN Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meadville Medical Center
• Meadville Medical Center
• Meadville Medical Center
• Meadville Medical Center
• Meadville Medical Center Outpatient Drug and Alcohol
• Meadville Ophthalmology Consultants, PC
• Meadville Pain Management, LLC
• Meadville Pediatrics, PC
• Meadville Physician Services
• Meadville Rehabilitation & Nursing Center, LLC

• All providers in Meadville, PA
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.