SUNCOAST OBSTETRICS AND GYNECOLOGY PA
NPI 1295923688
Obstetrics & Gynecology in Crystal River, FL

Active since October 10, 2007CLIA 10D1024759 · Waiver
582 SE 7TH AVE, CRYSTAL RIVER, FL 34429(352) 564-8245 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Suncoast Obstetrics And Gynecology Pa NPPES

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

SUNCOAST OBSTETRICS AND GYNECOLOGY PA (NPI 1295923688) is a healthcare organization registered as an obstetrics & gynecology in Crystal River, Florida and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through March 16, 2027 and lists Stacey Ann Lawlor, Assistant Manager, as its authorized official.

NPPES Registry Identity

NPI1295923688
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSUNCOAST OBSTETRICS AND GYNECOLOGY PA
Location Address582 SE 7TH AVECrystal River, FL 34429-4840
Mailing AddressPo Box 1117Crystal River, FL 34423-1117 · (352) 564-8245
Organization SubpartNo
Authorized OfficialStacey Ann LawlorAssistant Manager · (352) 564-8245
Enumeration DateOctober 10, 2007
Last NPPES UpdateJanuary 6, 2016
NPI 1295923688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in FL · ME62824
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.
582 SE 7TH AVE, Crystal River, FL 34429

Other Identifiers 3

Medicare UPINF74037FL
Medicare PINK5793
Medicaid269427100FL

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 of Waiver 10D1024759

Suncoast Obstetrics & Gynecology PA · Crystal River, FL
Active · expires Mar 16, 2027
CLIA Number10D1024759
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorScott J. Rederick MD
Laboratory Phone(352) 564-8245
Laboratory LocationSuncoast Obstetrics & Gynecology PA582 SE 7th Ave, Crystal River, FL 34429
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only 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
582 SE 7TH AVE
CRYSTAL RIVER, FL 34429

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 Suncoast Obstetrics And Gynecology PA's NPI number?

The NPI number for Suncoast Obstetrics And Gynecology PA is 1295923688. It was assigned to this organization in the NPPES registry on October 10, 2007.

Where is Suncoast Obstetrics And Gynecology PA located?

Suncoast Obstetrics And Gynecology PA is located at 582 SE 7th Ave, Crystal River, FL 34429. The listed phone number is (352) 564-8245.

What is Suncoast Obstetrics And Gynecology PA's specialty?

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

Does Suncoast Obstetrics And Gynecology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1024759) is associated with this NPI, valid through March 16, 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 Suncoast Obstetrics And Gynecology PA was last updated on January 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.