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WOOSTER OBSTETRICS & GYNECOLOGY INC NPI 1003807470


NPI Information

NPI: 1003807470
Provider Name: WOOSTER OBSTETRICS & GYNECOLOGY INC

Doing Business As: WOOSTER OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 36D0934915

Address:
546 WINTER ST
SUITE 100
WOOSTER, OH
ZIP 44691
Phone: (330) 345-2229
Get Directions

WOOSTER OBSTETRICS & GYNECOLOGY INC is an obstetrics gynecology in Wooster, OH. 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. WOOSTER OBSTETRICS & GYNECOLOGY INC NPI is 1003807470. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wooster Ob/gyn.

The provider's business location address is:

546 WINTER ST
SUITE 100
WOOSTER, OH
ZIP 44691-300
Phone: (330) 345-2229
Fax: (330) 345-2236

The provider's authorized official is John M Weeman .
The authorized official title is President and has the following contact phone number (330) 345-2229.

The CLIA number assigned to this NPI record is 36D0934915 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2005 and was last updated on 6/13/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========004OTHEROHIOHEALTH ASSURANCE
2CI2722MEDICARE PINOHIO
3=========004OTHEROHIOMEDICAL MUTUAL OF OHIO
4WO9292731MEDICARE PINOHIO
5=========027OTHEROHIOCARESOURCE
6=========1A00OTHEROHIOANTHEM BC/BS
72025641MEDICAIDOHIO

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: 4/28/2024

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