NPIMap

Organization Active NPI

Winchester OB GYN Associates, PC

  • Obstetrics & Gynecology Physician
  • Winchester, MA
National Provider Identifier
1811052954
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WINCHESTER OB GYN ASSOCIATES, PC
Practice address
1021 Main St
Suite 102
Winchester, MA 01890-1942
Phone
(781) 721-4701
NPI assigned
Dec 27, 2006
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Donald J Druga, MDNPI 1114928405
Title
Partner
Phone
(781) 721-4701

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1021 Main St
Suite 102
Winchester, MA 01890-1942

Mailing address

1021 Main St
Suite 102
Winchester, MA 01890-1942
Phone (781) 721-4701

Other identifiers 2

IdentifierTypeStateIssuer
M14998OtherMABCBS OF MA
600472OtherMATUFTS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050815000052 MA Part B Supplier - Clinic/Group Practice 2668402272 Receives reassigned benefits from 8 practitioners
Practice locations: Winchester, MA

National Provider Directory

National Provider Directory
Tax ID family
Winchester OB GYN Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 8

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1811052954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MAIN ST",
            "address_2": "SUITE 102",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901942",
            "telephone_number": "781-721-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MAIN ST",
            "address_2": "SUITE 102",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901942",
            "telephone_number": "781-721-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER OB GYN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "DRUGA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "781-721-4701",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "M14998",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "600472",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.