OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC
NPI 1083881973
Obstetrics & Gynecology - Gynecology in Oxon Hill, MD

Active since May 11, 2008CLIA 21D2170774 · Microscopy
6188 OXON HILL RD STE 603, OXON HILL, MD 20745(301) 839-6300(301) 839-3002 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ob/gyn Physicians Of Mid-atlantic, Pllc NPPES

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

OB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC (NPI 1083881973) is a healthcare organization registered as a gynecology in Oxon Hill, Maryland and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through August 19, 2027 and lists Stephen Ignatius Proctor, Owner, as its authorized official.

NPPES Registry Identity

NPI1083881973
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameOB/GYN PHYSICIANS OF MID-ATLANTIC, PLLC
Location Address6188 OXON HILL RD STE 603Oxon Hill, MD 20745-3152
Mailing Address6188 Oxon Hill Rd Ste 603Oxon Hill, MD 20745-3152 · (301) 839-6300 · Fax (301) 839-3002
Fax(301) 839-3002
Organization SubpartNo
Authorized OfficialStephen Ignatius ProctorOwner · (301) 839-6300
Enumeration DateMay 11, 2008
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
NPI 1083881973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in MD · D38772
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6188 OXON HILL RD STE 603, Oxon Hill, MD 20745

Other Identifiers 1

Medicaid221881000MD

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D2170774

Ob/Gyn Physicians Of Mid-Atlantic · Oxon Hill, MD
Active · expires Aug 19, 2027
CLIA Number21D2170774
Laboratory TypePhysician Office
Certificate Effective DateAugust 20, 2025
Certificate Expiration DateAugust 19, 2027
Laboratory DirectorStephen I. Proctor
Laboratory Phone(301) 839-6300
Laboratory LocationOb/Gyn Physicians Of Mid-Atlantic6188 Oxon Hill Road #603, Oxon Hill, MD 20745
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
6188 OXON HILL RD STE 603
OXON HILL, MD 20745

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 Ob/Gyn Physicians Of Mid-Atlantic, PLLC's NPI number?

The NPI number for Ob/Gyn Physicians Of Mid-Atlantic, PLLC is 1083881973. It was assigned to this organization in the NPPES registry on May 11, 2008.

Where is Ob/Gyn Physicians Of Mid-Atlantic, PLLC located?

Ob/Gyn Physicians Of Mid-Atlantic, PLLC is located at 6188 Oxon Hill Rd Ste 603, Oxon Hill, MD 20745. The listed phone number is (301) 839-6300.

What is Ob/Gyn Physicians Of Mid-Atlantic, PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Ob/Gyn Physicians Of Mid-Atlantic, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D2170774) is associated with this NPI, valid through August 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ob/Gyn Physicians Of Mid-Atlantic, PLLC was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.