Grace OB/GYN LLC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

24538 Issued in AL

Legal business name

GRACE OB/GYN LLC

Practice address

188 Hospital Dr
Suite 303
Fairhope, AL 36532-2043

Phone

(251) 990-1960

Fax

(251) 990-1964

NPI assigned

Nov 30, 2011

Last updated

Jan 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer M Grace, MD

Title

President

Phone

(251) 990-1960

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1790052090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2492",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365262492",
            "telephone_number": "251-990-1960",
            "fax_number": "251-990-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HOSPITAL DR",
            "address_2": "SUITE 303",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322043",
            "telephone_number": "251-990-1960",
            "fax_number": "251-990-1964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OB/GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-990-1960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "AL",
            "license": "24538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lawrence Goldblatt, MD
• Sarah McLaughlin Gonzalez, CRNP
• Karen Davis Goodson, PTA
• James Otis Gordon, M.D.
• Gary Andrew Gould, PA
• Graham Collaborative, LLC (Graham Counselling Collaborative)
• Brittany Kayla Graham, LMFT
• Melissa Granger
• Kelly Ray Green, M.D.
• James J Griffin, MD

• Obstetrics Physician in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Obstetrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.