Organization Active NPI

Obstetrics & Gynecological Associates, PA

  • Gynecology Physician
  • Spartanburg, SC
National Provider Identifier
1669470357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
4891 Issued in SC
Legal business name
OBSTETRICS & GYNECOLOGICAL ASSOCIATES, PA
Practice address
853 N Church St
Ste 400
Spartanburg, SC 29303-3098
Phone
(864) 582-4567
Fax
(864) 582-5397
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
J Sidney Fulmer, MD
Title
MD
Phone
(864) 582-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 4891 SC Primary

Addresses

Primary practice location

853 N Church St
Ste 400
Spartanburg, SC 29303-3098

Mailing address

853 N Church St
Ste 400
Spartanburg, SC 29303-3098
Phone (864) 582-4567

National Provider Directory

National Provider Directory

Locations

853 N Church St
Ste 400
Spartanburg, SC 29303
Phone (864) 560-6192

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669470357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 N CHURCH ST",
            "address_2": "STE 400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033098",
            "telephone_number": "864-582-4567",
            "fax_number": "864-582-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 N CHURCH ST",
            "address_2": "STE 400",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033098",
            "telephone_number": "864-582-4567",
            "fax_number": "864-582-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULMER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "SIDNEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "864-582-4567",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "SC",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.