Active NPI
Marianna OB GYN Associates P a
- Specialist
- Marianna, FL
National Provider Identifier
1962532655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0068116
- Legal business name
- MARIANNA OB GYN ASSOCIATES P A
- Practice address
- 4230 Hospital Dr
Suite 209
Marianna, FL 32446-1955 - Phone
- (850) 482-6484
- Fax
- (850) 482-5713
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Orlando S Muniz
- Title
- Owner
- Phone
- (850) 482-6484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0068116 | FL | Primary |
Addresses
Primary practice location
4230 Hospital Dr
Suite 209
Marianna, FL 32446-1955
Mailing address
4230 Hospital Drive
Suite 209
Marianna, FL 32446-1955
Phone (850) 482-6484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21956 | Other | FL | BCBS GROUP |
| 254870400 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329350400000",
"number": "1962532655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4230 HOSPITAL DRIVE",
"address_2": "SUITE 209",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461955",
"telephone_number": "850-482-6484",
"fax_number": "850-482-5713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4230 HOSPITAL DR",
"address_2": "SUITE 209",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461955",
"telephone_number": "850-482-6484",
"fax_number": "850-482-5713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIANNA OB GYN ASSOCIATES P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2012-02-16",
"status": "A",
"authorized_official_last_name": "MUNIZ",
"authorized_official_first_name": "ORLANDO",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-482-6484",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0068116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "21956",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254870400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.