Organization Active NPI

Charles Street OBGYN Assiociates

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1902958879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHARLES STREET OBGYN ASSIOCIATES
Practice address
6565 N Charles St
Physicians Pavilion East Suite 212
Towson, MD 21204-6800
Phone
(410) 823-1120
Fax
(410) 296-9009
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Ottenritter, M.D.
Title
President
Phone
(410) 823-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

6565 N Charles St
Physicians Pavilion East Suite 212
Towson, MD 21204-6800

Mailing address

6565 N Charles St
Physicians Pavilion East Suite 212
Towson, MD 21204-6800
Phone (410) 823-1120

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902958879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "PHYSICIANS PAVILION EAST SUITE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "410-823-1120",
            "fax_number": "410-296-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST",
            "address_2": "PHYSICIANS PAVILION EAST SUITE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212046800",
            "telephone_number": "410-823-1120",
            "fax_number": "410-296-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES STREET OBGYN ASSIOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTTENRITTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-823-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.