GREAT VALLEY OBGYN NPI 1376988410

NPI Information

  • NPI: 1376988410
  • Provider Name: GREAT VALLEY OBGYN
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • CLIA Number: 39D1014580
  • Address: 495 THOMAS JONES WAY
    MAIN LINE HEALTH CTR SUITE 210
    EXTON, PA
    ZIP 19341
  • Phone: (484) 565-8550

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NPI Details

GREAT VALLEY OBGYN is an obstetrics gynecology in Exton, PA. The provider is 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. GREAT VALLEY OBGYN NPI is 1376988410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

495 THOMAS JONES WAY
MAIN LINE HEALTH CTR SUITE 210
EXTON, PA
ZIP 19341-553
Phone: (484) 565-8550
Fax: (610) 280-1569

The provider's authorized official is Carol Coldren .
The authorized official title is Physician and has the following contact phone number (484) 565-8550.

The CLIA number assigned to this NPI record is 39D1014580 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2013 and was last updated on 5/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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