Provider Demographics
NPI:1093903627
Name:OB-GYN ASSOCIATES OF BALDWIN COUNTY, P.C.
Entity Type:Organization
Organization Name:OB-GYN ASSOCIATES OF BALDWIN COUNTY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D./ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEST
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:251-970-2229
Mailing Address - Street 1:1430 N MCKENZIE ST
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2234
Mailing Address - Country:US
Mailing Address - Phone:251-970-2229
Mailing Address - Fax:251-970-2496
Practice Address - Street 1:1430 N MCKENZIE ST
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2234
Practice Address - Country:US
Practice Address - Phone:251-970-2229
Practice Address - Fax:251-970-2496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16582207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529703910Medicaid