Organization Active NPI

Baptist Obstetrics and Gynecology Inc

  • Obstetrics & Gynecology Physician
  • Fernandina Beach, FL
National Provider Identifier
1902517113
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BAPTIST OBSTETRICS AND GYNECOLOGY INC
Practice address
1340 S 18TH St Ste 201
Fernandina Beach, FL 32034-4733
Phone
(904) 321-3670
Fax
(904) 376-3416
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Marsha Donaldson
Title
Vice President
Phone
(904) 376-3703

Specialties & licenses 1

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

Addresses

Primary practice location

1340 S 18TH St Ste 201
Fernandina Beach, FL 32034-4733

Mailing address

PO Box 748667
Atlanta, GA 30374-8667
Phone (904) 202-1032

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
10D2274239Baptist Obstetrics and Gynecology Inc1340 South 18TH Street Suite 201, Fernandina Beach, FL 32034Provider-performed microscopyDec 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Baptist Obstetrics and Gynecology Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1340 S 18th St
Ste 201
Fernandina Beach, FL 32034
Phone (904) 261-7221

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": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1902517113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748667",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748667",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 S 18TH ST STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344733",
            "telephone_number": "904-321-3670",
            "fax_number": "904-376-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST OBSTETRICS AND GYNECOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "904-376-3703"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.