Obhg Arkansas, PA
Organization Active NPI Obstetrics & Gynecology Physician · Greenville, SC
NPI 1962862920 · NPPES record last updated Jan 10, 2019
Key facts
- NPI
- 1962862920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- OBHG ARKANSAS, PA
- Practice address
- 777 Lowndes Hill Rd BLDG 1
Greenville, SC 29607-2131 - Phone
- (800) 967-2289
- Fax
- (864) 627-9920
- NPI assigned
- Mar 3, 2016
- Organization subpart
- No
Authorized official
- Name
- Cliff Lawrence
- Title
- Authorized Official
- Phone
- (800) 967-2289
Corporate family (same tax ID) 1
Practitioners 37
-
Tochi M. Amagwula, M.D.
-
Stephen T Bashuk, M.D.
-
Suzanna Chatterjee, M.D.
-
Brian Jay Cobb, M.D.
-
Ronnie Wayne Dennis, M.D.
-
Jennifer Lynn Duroy, D.O.
-
Natalie Zoe Eiland, D.O.
-
Robert L Halterman, D.O.
-
David Lee Lang, D.O.
-
Renee G Lockey, MD
-
Marc Luckett, M.D.
-
Jeffrey Manley, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160608001838 | AR | Part B Supplier - Clinic/Group Practice | 4880984558 |
Receives reassigned benefits from 37 practitioners Practice locations: Bentonville, AR; Johnson, AR |
National Provider Directory
- Tax ID family
- Obhg Arkansas
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | Yes | ||
| Hospitalist Physician |
208M00000X |
Addresses
Primary practice location
777 Lowndes Hill Rd BLDG 1
Greenville, SC 29607-2131
Mailing address
777 Lowndes Hill Rd BLDG 1
Greenville, SC 29607-2131
Phone (800) 967-2289
Other providers in Greenville, SC
- Oaths, LLC
- John Edward Oatis III
- OB Hospitalist Services New Jersey, PA
- Seth Robert Oberst
- Obhg Alabama, P.C.
- Obhg California, P.C.
- Obhg Connecticut PC
- Obhg Iowa PC
- Obhg Louisiana, LLC
- Obhg Nebraska PC
All providers in Greenville, SC · Obstetrics & Gynecology Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.