Active NPI
Nacogdoches Obstetrics and Gynecology PLLC
- Obstetrics & Gynecology Physician
- Nacogdoches, TX
National Provider Identifier
1720858566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- NACOGDOCHES OBSTETRICS AND GYNECOLOGY PLLC
- Practice address
- 4800 NE Stallings Dr Ste 106
Nacogdoches, TX 75965-1251 - Phone
- (936) 569-0000
- Fax
- (833) 645-2183
- NPI assigned
- Jan 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Benjamin P Thompson, MD
- Title
- Physician Partner
- Phone
- (936) 569-0000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
4800 NE Stallings Dr Ste 106
Nacogdoches, TX 75965-1251
Mailing address
4800 NE Stallings Dr Ste 106
Nacogdoches, TX 75965-1251
Phone (936) 569-0000
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0690887 | Nacogdoches Obstetrics and Gynecology | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Nacogdoches, TX
- NPI 1730506031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704240000000",
"number": "1720858566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 NE STALLINGS DR STE 106",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651251",
"telephone_number": "936-569-0000",
"fax_number": "833-645-2183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 NE STALLINGS DR STE 106",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651251",
"telephone_number": "936-569-0000",
"fax_number": "833-645-2183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NACOGDOCHES OBSTETRICS AND GYNECOLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PHYSICIAN PARTNER",
"authorized_official_telephone_number": "936-569-0000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
- Nacogdoches Independent School District
- Nacogdoches Internal Medicine PLLC
- Nacogdoches Medical Clinic PLLC
- Nacogdoches Nephrology, PA
- Nacogdoches Neurosurgery, P.a.
- Nacogdoches Pediatric Care (Nacogdoches Pediatric Extended Care)
- Nacogdoches Physical Therapy LLC (Nacogdoches Physical Exellence Center)
- Nacogdoches Podiatry PLLC
- Nacogdoches Pulmonary and Sleep Associates PA
- Nacogdoches Radiology Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.