Active NPI
Bay Area Advanced OBGYN, PLLC
- Obstetrics & Gynecology Physician
- Webster, TX
National Provider Identifier
1609141829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- F4912
- Legal business name
- BAY AREA ADVANCED OBGYN, PLLC
- Practice address
- 450 W Medical Center Blvd Ste 410
Webster, TX 77598-4233 - Phone
- (832) 331-1125
- Fax
- (281) 724-1077
- NPI assigned
- Mar 21, 2012
- Last updated
- Mar 5, 2013
- Organization subpart
- Yes
- Parent organization
- BAY AREA ADVANCED OBGYN, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erwin Manfred Korman, MD
- Title
- MD
- Phone
- (832) 331-1125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | F4912 | TX | Primary |
Addresses
Primary practice location
450 W Medical Center Blvd Ste 410
Webster, TX 77598-4233
Mailing address
450 W Medical Center Blvd Ste 410
Webster, TX 77598-4233
Phone (832) 331-1125
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 308874201 | Medicaid | TX | |
| 099377603 | Medicaid | TX | |
| 114825604 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Bay Area Advanced OBGYN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362441600000",
"number": "1609141829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 W MEDICAL CENTER BLVD STE 410",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984233",
"telephone_number": "832-331-1125",
"fax_number": "281-724-1077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 W MEDICAL CENTER BLVD STE 410",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984233",
"telephone_number": "832-331-1125",
"fax_number": "281-724-1077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA ADVANCED OBGYN, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAY AREA ADVANCED OBGYN, PLLC",
"enumeration_date": "2012-03-21",
"last_updated": "2013-03-05",
"status": "A",
"authorized_official_last_name": "KORMAN",
"authorized_official_first_name": "ERWIN",
"authorized_official_middle_name": "MANFRED",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "832-331-1125",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "F4912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "308874201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099377603",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114825604",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.