Organization Active NPI

OB GYN Clinic

  • Specialist
  • Greenville, TX
National Provider Identifier
1760621866
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G8748 Issued in TX
Legal business name
OB GYN CLINIC
Practice address
3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770
Phone
(903) 454-1722
Fax
(903) 454-1750
NPI assigned
Feb 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Dr. Pairoj Pratumrat, M.D.
Title
Partner
Phone
(903) 454-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G8748 TX Primary

Addresses

Primary practice location

3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770

Mailing address

3900 Joe Ramsey Blvd E
Suite E
Greenville, TX 75401-7770
Phone (903) 454-1722

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0696057OB/GYN Clinic3900 Joe Ramsey Blvd Building E, Greenville, TX 75401Provider-performed microscopyJul 21, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1760621866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017770",
            "telephone_number": "903-454-1722",
            "fax_number": "903-454-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB GYN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "PRATUMRAT",
        "authorized_official_first_name": "PAIROJ",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "903-454-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "G8748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; 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.

Verify at the official NPI Registry.