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SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY INC NPI 1629038203


NPI Information

NPI: 1629038203
Provider Name: SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 36D0918326

Address:
630 W MAIN ST
SUITE 307
WILMINGTON, OH
ZIP 45177
Phone: (937) 383-1588
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SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC is an obstetrics gynecology in Wilmington, 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. SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC NPI is 1629038203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

630 W MAIN ST
SUITE 307
WILMINGTON, OH
ZIP 45177-170
Phone: (937) 383-1588
Fax: (937) 383-4525

The provider's authorized official is Rajiv Patel .
The authorized official title is Owner and has the following contact phone number (937) 383-1588.

The CLIA number assigned to this NPI record is 36D0918326 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2006 and was last updated on 10/14/2016.


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
19299111MEDICARE PINOHIO
22078273MEDICAIDOHIO

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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