OB-GYN, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

050047 Issued in GA

Legal business name

OB-GYN, INC

Practice address

1018 Hospital Dr
Stockbridge, GA 30281-7384

Phone

(770) 507-4842

Fax

(770) 507-6964

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Ike Ojukwu, MD

Title

Physician

Phone

(770) 507-4842

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1801924865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817384",
            "telephone_number": "770-507-4842",
            "fax_number": "770-507-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 HOSPITAL DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817384",
            "telephone_number": "770-507-4842",
            "fax_number": "770-507-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "OJUKWU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "IKE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-507-4842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "050047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121101876A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Chinedu Nwaizuzu, M.D
• Agatha Nkechi Nwizu, DDS
• Miata O'Neil, LCSW
• David Eric O'Neill, MD
• O2 Rehab Solutions LLC
• Chadi Obeid, MD
• Carrie Ann Oberster, DC
• Tonya Obryan, CHES
• Abdulfatai Olaolu Odemuyiwa, M.D.
• Maddie Melissa Oden, LCSW

• Specialist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.