NPIMap

Organization Active NPI

Jefferson OB GYN LTD

  • Ambulatory Surgical Clinic/Center
  • Charlottesville, VA
National Provider Identifier
1902473028
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
JEFFERSON OB GYN LTD
Practice address
600 Peter Jefferson Pkwy Ste 290
Charlottesville, VA 22911-8835
Phone
(434) 977-4091
NPI assigned
Jun 8, 2021
Organization subpart
Yes
Parent organization
JEFFERSON OBSTETRICS & GYNECOLOGY, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Adrienne Canterbury, MHA
Title
Administrator
Phone
(434) 977-4091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

600 Peter Jefferson Pkwy Ste 290
Charlottesville, VA 22911-8835

Mailing address

600 Peter Jefferson Pkwy Ste 290
Charlottesville, VA 22911-8835
Phone (434) 977-4091

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jeffersonobgyn.net

National Provider Directory

National Provider Directory
Tax ID family
Jefferson OB GYN LTD2 organizations share this tax ID, including this one
Part of
Jefferson OB GYN LTD

Other organizations with this tax ID 1

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

Locations

600 Peter Jefferson Pkwy
Ste 290
Charlottesvle, VA 22911
Phone (434) 977-4091

Practitioners & affiliated clinicians

Practitioners 10

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": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1902473028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 290",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-977-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PETER JEFFERSON PKWY STE 290",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118835",
            "telephone_number": "434-977-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON OB GYN LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON OBSTETRICS & GYNECOLOGY, LTD.",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-977-4091",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeffersonobgyn.net",
            "affiliation": "N",
            "endpointDescription": "web site",
            "address_1": "600 Peter Jefferson Pkwy Ste 290",
            "city": "Charlottesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229118835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.