Active NPI
Colonial OB-GYN Associates LTD
- Obstetrics & Gynecology Physician
- Newport News, VA
National Provider Identifier
1801979539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101030251
- Legal business name
- COLONIAL OB-GYN ASSOCIATES LTD
- Practice address
- 716 Denbigh Blvd
Suite E-2
Newport News, VA 23608-4414 - Phone
- (757) 874-2795
- Fax
- (757) 874-6758
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lois A Shwayder
- Title
- Administrator
- Phone
- (757) 874-2790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 0101030251 | VA | Primary |
Addresses
Primary practice location
716 Denbigh Blvd
Suite E-2
Newport News, VA 23608-4414
Mailing address
716 Denbigh Blvd
Suite E-2
Newport News, VA 23608-4414
Phone (757) 874-2790
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6232019 | Medicaid | VA | |
| 1912970302 | Other | VA | NPI NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D0693942 | Colonial OB GYN Associates LTD | Certificate of waiver | Apr 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
716 Denbigh Blvd
Ste E2
Newport News, VA 23608
Phone (757) 874-2790
Interoperability endpoints
- https://api.platform.athenahealth.com/12483/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Obstetrics Physician
- Newport News, VA
- NPI 1912970302
-
- Psychiatric/Mental Health Nurse Practitioner
- Hampton, VA
- NPI 1982945069
-
- Women's Health Nurse Practitioner
- Williamsburg, VA
- NPI 1912390105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375056000000",
"number": "1801979539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 DENBIGH BLVD",
"address_2": "SUITE E-2",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084414",
"telephone_number": "757-874-2790",
"fax_number": "757-874-6758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 DENBIGH BLVD",
"address_2": "SUITE E-2",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236084414",
"telephone_number": "757-874-2795",
"fax_number": "757-874-6758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONIAL OB-GYN ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2013-07-29",
"status": "A",
"authorized_official_last_name": "SHWAYDER",
"authorized_official_first_name": "LOIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "757-874-2790"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101030251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6232019",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1912970302",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.