Organization Active NPI

OBGYN Inc

  • Obstetrics & Gynecology Physician
  • Latrobe, PA
National Provider Identifier
1730218728
Registry record updated Sep 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OBGYN INC
Practice address
911 Ligonier St
Suite 205
Latrobe, PA 15650-1805
Phone
(724) 532-2322
Fax
(724) 532-2405
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2009

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

Authorized official

Name
Samuel W Flannagan, MDNPI 1598751067
Title
President
Phone
(724) 532-2322

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

911 Ligonier St
Suite 205
Latrobe, PA 15650-1805

Mailing address

911 Ligonier St
Suite 205
Latrobe, PA 15650-1805
Phone (724) 532-2322

Other identifiers 1

IdentifierTypeStateIssuer
0008358050002MedicaidPA

National Provider Directory

National Provider Directory

Locations

217 Depot St
Latrobe, PA 15650
Phone (724) 539-3595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253923200000",
    "number": "1730218728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST",
            "address_2": "SUITE 205",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-532-2322",
            "fax_number": "724-532-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST",
            "address_2": "SUITE 205",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-532-2322",
            "fax_number": "724-532-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-09-26",
        "status": "A",
        "authorized_official_last_name": "FLANNAGAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-532-2322",
        "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": "0008358050002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; 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.