Organization Active NPI

My OB GYN LLC

  • Obstetrics & Gynecology Physician
  • Pembroke Pines, FL
National Provider Identifier
1902086408
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0058327 Issued in FL
Legal business name
MY OB GYN LLC
Practice address
601 NW 179TH Ave
Suite 102
Pembroke Pines, FL 33029-2819
Phone
(954) 436-2867
Fax
(954) 442-5167
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Helen M Salsbury, M.D.NPI 1962563395
Title
Physician Owner
Phone
(954) 436-2867

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME0058327 FL Primary

Addresses

Primary practice location

601 NW 179TH Ave
Suite 102
Pembroke Pines, FL 33029-2819

Mailing address

601 NW 179TH Ave
Suite 102
Pembroke Pines, FL 33029-2819
Phone (954) 436-2867

Other identifiers 1

IdentifierTypeStateIssuer
1962563395OtherFLNPI

Other names 1

  • Helen Salsbury MD PA Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000129 FL Part B Supplier - Clinic/Group Practice 8426132820 Receives reassigned benefits from 3 practitioners
Practice locations: Pembroke Pines, FL

National Provider Directory

National Provider Directory

Locations

18503 Pines Blvd
Ste 211
Pembroke Pines, FL 33029
Phone (954) 436-2867

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1902086408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW 179TH AVE",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292819",
            "telephone_number": "954-436-2867",
            "fax_number": "954-442-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW 179TH AVE",
            "address_2": "SUITE 102",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292819",
            "telephone_number": "954-436-2867",
            "fax_number": "954-442-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OB GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "SALSBURY",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "954-436-2867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0058327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962563395",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Helen Salsbury MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.