NPIMap

Organization Active NPI

OB-GYN Center PC

  • Obstetrics & Gynecology Physician
  • Martinsville, VA
National Provider Identifier
1770597213
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101028353 Issued in VA
Legal business name
OB-GYN CENTER PC
Practice address
315 Hospital Dr
Suite 201
Martinsville, VA 24112-1927
Phone
(276) 638-8881
Fax
(276) 638-3268
NPI assigned
Jul 28, 2006
Last updated
Sep 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Paul Alfred Holyfield, M.D.NPI 1790786481
Title
President
Phone
(276) 638-8881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101028353 VA Primary

Addresses

Primary practice location

315 Hospital Dr
Suite 201
Martinsville, VA 24112-1927

Mailing address

315 Hospital Dr
Suite 201
Martinsville, VA 24112-1927
Phone (276) 638-8881

Other identifiers 2

IdentifierTypeStateIssuer
006242731MedicaidVA
015582OtherVAANTHEM BCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1770597213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121927",
            "telephone_number": "276-638-8881",
            "fax_number": "276-638-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 201",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121927",
            "telephone_number": "276-638-8881",
            "fax_number": "276-638-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "HOLYFIELD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-638-8881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101028353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006242731",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "015582",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.