Organization Active NPI

Obg-1 a Medical Corporation

  • Obstetrics & Gynecology Physician
  • Sulphur, LA
National Provider Identifier
1629270137
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBG-1 A MEDICAL CORPORATION
Practice address
1200 Stelly LN
Sulphur, LA 70663-5134
Phone
(337) 312-1000
Fax
(337) 312-1001
NPI assigned
Jun 5, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Edward Ben Darby, M.D.NPI 1245239482
Title
President
Phone
(337) 312-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1200 Stelly LN
Sulphur, LA 70663-5134

Mailing address

PO Box 4610
Lake Charles, LA 70606-4610
Phone (337) 312-1000

Other identifiers 2

IdentifierTypeStateIssuer
1948250MedicaidLA
5BC68OtherLAMEDICARE GROUP PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1890 W Gauthier Rd
Ste 110
Lake Charles, LA 70605
Phone (337) 312-1000

1200 Stelly Ln
Sulphur, LA 70663
Phone (337) 312-1000

Practitioners & affiliated clinicians

Practitioners 5

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": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1629270137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4610",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706064610",
            "telephone_number": "337-312-1000",
            "fax_number": "337-312-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 STELLY LN",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635134",
            "telephone_number": "337-312-1000",
            "fax_number": "337-312-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBG-1 A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "DARBY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-312-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948250",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PROVIDER NUMBER",
            "identifier": "5BC68",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.