Specialty Gynecology PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

044759 Issued in GA

Legal business name

SPECIALTY GYNECOLOGY PC

Practice address

2398 Mount Vernon Rd
Suite 150
Dunwoody, GA 30338-3064

Phone

(770) 512-7099

Fax

(770) 512-7090

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Christine Castagno, MD

Title

Physician Owner

Phone

(352) 672-4666

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1750458261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 MOUNT VERNON RD",
            "address_2": "SUITE 150",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383064",
            "telephone_number": "770-512-7099",
            "fax_number": "770-512-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 MOUNT VERNON RD",
            "address_2": "SUITE 150",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383064",
            "telephone_number": "770-512-7099",
            "fax_number": "770-512-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY GYNECOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "CASTAGNO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "352-672-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "GA",
            "license": "031498",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "044759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000772285B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gynecology Physician in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.