NPIMap

Organization Active NPI

Gynecology & Obstetrics Associates of Tallahassee PLLC

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1912468323
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GYNECOLOGY & OBSTETRICS ASSOCIATES OF TALLAHASSEE PLLC
Practice address
1405 Centerville Rd Ste 4200
Tallahassee, FL 32308-4622
Phone
(850) 877-3549
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Jana Bures-ForsthoefelNPI 1447210364
Title
MD
Phone
(850) 877-3549

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 Primary

Addresses

Primary practice location

1405 Centerville Rd Ste 4200
Tallahassee, FL 32308-4622

Mailing address

1405 Centerville Rd Ste 4200
Tallahassee, FL 32308-4622
Phone (850) 877-3549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190610000862 FL Part B Supplier - Clinic/Group Practice 8325371263 Receives reassigned benefits from 5 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1912468323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 4200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084622",
            "telephone_number": "850-877-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CENTERVILLE RD STE 4200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084622",
            "telephone_number": "850-877-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGY & OBSTETRICS ASSOCIATES OF TALLAHASSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "BURES-FORSTHOEFEL",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "850-877-3549"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.