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OB GYN CLINIC PC
NPI 1043339385
Obstetrics & Gynecology in Big Stone Gap, VA

Active since March 28, 2007
1980 HOLTON AVE E, SUITE 301, BIG STONE GAP, VA 24219(276) 523-0390(423) 523-5514 Get Directions Write a Review

NPPES record last updated: April 22, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ob Gyn Clinic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OB GYN CLINIC PC (NPI 1043339385) is a healthcare organization registered as an obstetrics & gynecology in Big Stone Gap, Virginia and active in the NPI registry since March 2007. The organization lists Cindy M Locke, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1043339385
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWELLMONT PHYSICIAN SERVICES INC
Location Address1980 HOLTON AVE E, SUITE 301Big Stone Gap, VA 24219-3366
Mailing Address999 Executive Park Blvd, Suite 201Kingsport, TN 37660-4632 · (423) 224-3250 · Fax (423) 224-3258
Phone(276) 523-0390
Fax(423) 523-5514
Organization SubpartNo
Authorized OfficialCindy M LockeBilling Administrator · (423) 224-3250
Enumeration DateMarch 28, 2007
Last NPPES UpdateApril 22, 2010
✔ NPI 1043339385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1980 HOLTON AVE E, Big Stone Gap, VA 24219
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Other Names 1

Doing Business AsOb Gyn Clinic Pc

Other Identifiers 4

Medicare PINCC3164VA
Medicare PINC09208VA
Other=========006VA · Champus
Medicaid65942757KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EDAKANDYIL MANOHARAN MD
Obstetrics & Gynecology
1980 HOLTON AVE E, SUITE 301
BIG STONE GAP, VA 24219
Wise County (276) 523-0390
PULMONARY ASSOCIATES OF KINGSPORT
Specialist
1980 HOLTON AVE E, SUITE 202
BIG STONE GAP, VA 24219
Wise County (276) 523-8860
PROF. MICHAEL C VACCO MD
Pediatrics
1980 HOLTON AVE E, SUITE 203
BIG STONE GAP, VA 24219
Wise County (276) 523-8681
JOSEPH W FRYE II D.O.
Physical Medicine & Rehabilitation
1980 HOLTON AVE E, SUITE 202
BIG STONE GAP, VA 24219
Wise County (276) 523-8973
LAWRENCE J. FLEENOR JR
Family Medicine
1980 HOLTON AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-1600
WELLMONT PHYSICIAN SERVICES INC
Family Medicine
1980 HOLTON AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-8741
MARY MOORE CRNA
Nurse Anesthetist, Certified Registered
1980 HOLTON AVE E
BIG STONE GAP, VA 24219
Wise County (276) 523-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellmont Physician Services Inc's NPI number?

The NPI number for Wellmont Physician Services Inc is 1043339385. It was assigned to this organization in the NPPES registry on March 28, 2007. The provider is doing business as Ob Gyn Clinic PC.

Where is Wellmont Physician Services Inc located?

Wellmont Physician Services Inc is located at 1980 Holton Ave E Suite 301, Big Stone Gap, VA 24219. The listed phone number is (276) 523-0390.

What is Wellmont Physician Services Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Wellmont Physician Services Inc was last updated on April 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.