Provider Demographics
NPI:1295919355
Name:ASSOCIATES IN OBSTETRICS & GYNECOLOGY PC
Entity type:Organization
Organization Name:ASSOCIATES IN OBSTETRICS & GYNECOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:W
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:719-596-3344
Mailing Address - Street 1:8580 SCARBOROUGH DR
Mailing Address - Street 2:STE. 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7583
Mailing Address - Country:US
Mailing Address - Phone:719-596-3344
Mailing Address - Fax:719-632-6118
Practice Address - Street 1:8580 SCARBOROUGH DRIVE
Practice Address - Street 2:STE. 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-596-3344
Practice Address - Fax:719-632-6118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-26
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Multi-Specialty
No209800000XAllopathic & Osteopathic PhysiciansLegal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04050084Medicaid
CO04050084Medicaid
COF24398Medicare PIN