Provider Demographics
NPI:1699871095
Name:CONTEMPORARY OB-GYN ASSOCIATES LTD
Entity type:Organization
Organization Name:CONTEMPORARY OB-GYN ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-627-5116
Mailing Address - Street 1:142 W YORK ST STE 805
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2015
Mailing Address - Country:US
Mailing Address - Phone:757-627-5116
Mailing Address - Fax:757-627-0306
Practice Address - Street 1:142 W YORK ST STE 805
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2015
Practice Address - Country:US
Practice Address - Phone:757-627-5116
Practice Address - Fax:757-627-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101-034007174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA097868OtherBC/BS
VA006235735Medicaid
VA14363OtherOPTIMA
VA227680481OtherCHAMPUS
VA212732OtherCIGNA
VA55840OtherSENTARA
VA55840OtherSENTARA
VA227680481OtherCHAMPUS
VA55840OtherSENTARA