NPIMap

Organization Active NPI

Progressive Women OB-GYN

  • Specialist
  • Easton, PA
National Provider Identifier
1962540278
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD068031L Issued in PA
Legal business name
PROGRESSIVE WOMEN OB-GYN
Practice address
301 S 22ND St
Easton, PA 18042-3811
Phone
(610) 330-3333
NPI assigned
Feb 1, 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. Regina T Sullivan, M.D.,FACOG
Title
Coo
Phone
(610) 330-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD068031L PA Primary

Addresses

Primary practice location

301 S 22ND St
Easton, PA 18042-3811

Mailing address

301 S 22ND St
Easton, PA 18042-3811
Phone (610) 330-3333

Other identifiers 2

IdentifierTypeStateIssuer
MD068031LOtherPAMD LICENSE
MA67679OtherNJSTATE MD LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962540278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-330-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 22ND ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423811",
            "telephone_number": "610-330-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WOMEN OB-GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-330-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,FACOG"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD068031L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MD068031L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MD LICENSE",
            "identifier": "MA67679",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

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.