Provider Demographics
NPI:1023117710
Name:ASSOCIATED OBSTETRICIANS AND GYNECOLOGISTS, INC.
Entity type:Organization
Organization Name:ASSOCIATED OBSTETRICIANS AND GYNECOLOGISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-547-0990
Mailing Address - Street 1:2147 OLD GREENBRIER RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2635
Mailing Address - Country:US
Mailing Address - Phone:757-547-0990
Mailing Address - Fax:757-321-1393
Practice Address - Street 1:2147 OLD GREENBRIER RD
Practice Address - Street 2:SUITE D
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2635
Practice Address - Country:US
Practice Address - Phone:757-547-0990
Practice Address - Fax:757-321-1393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101023442207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6243401Medicaid
VA6244149Medicaid
VA161949418Medicare ID - Type UnspecifiedDR UY MEDICARE NUMBER
VAB07161Medicare UPIN
VA6244149Medicaid
VA6243401Medicaid