Georgetown OB GYN LLP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

H7653 Issued in TX

Legal business name

GEORGETOWN OB GYN LLP

Practice address

602 High Tech Drive
Georgetown, TX 78626

Phone

(512) 863-8600

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Deborah S Santifer, CPC

Title

Office Manager

Phone

(512) 863-8600

Specialties & licenses 2

Addresses

Other identifiers 17

Other names 1

• John Vaneff Sherman MD Other name

Practitioners 1

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

• Larissa Kaye Oneill, MD

  • Family Medicine Physician
  • Round Rock, TX
  • NPI 1003890963
  NPD (past)

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1740441302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1223",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786271223",
            "telephone_number": "512-863-8600",
            "fax_number": "512-863-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 HIGH TECH DRIVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "78626",
            "telephone_number": "512-863-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN OB GYN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SANTIFER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "512-863-8600",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "H7653",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K7214",
            "primary": false
        }
    ],
    "identifiers": [
        {
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            "issuer": "CIGNA",
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        },
        {
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            "issuer": "AMERICGROUP",
            "identifier": "10008667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2290118",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962581 02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECHSTREET",
            "identifier": "21149582824 01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "3361599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "5320762",
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        },
        {
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            "issuer": "BCBS",
            "identifier": "00046M",
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        {
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            "issuer": "BLUE LINK",
            "identifier": "0058487",
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        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "2290279",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00L62J",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235269 03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4393421",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00L62J",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2949121001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Vaneff Sherman MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Georgetown Physical Therapy, LLC

• Obstetrics & Gynecology Physician in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.