Organization Active NPI

Colonial OB-GYN Associates LTD

  • Obstetrics & Gynecology Physician
  • Newport News, VA
National Provider Identifier
1801979539
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101030251 Issued in VA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6232019MedicaidVA
1912970302OtherVANPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060508000240 VA Part B Supplier - Clinic/Group Practice 7517978448 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

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
49D0693942Colonial OB GYN Associates LTD716 Denbigh Boulevard - Suite E2, Newport News, VA 23608Certificate of waiverApr 29, 2027

National Provider Directory

National Provider Directory

Locations

716 Denbigh Blvd
Ste E2
Newport News, VA 23608
Phone (757) 874-2790

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.