ANTONIUS SUSATYO HADI MD NPI 1033296942

NPI Information

NPI: 1033296942
Provider Name: ANTONIUS SUSATYO HADI, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
8401 MARKET ST
BOARDMAN, OH
ZIP 44512
Phone: (330) 729-4350
Get Directions

Antonius Susatyo Hadi, MD is an obstetrics gynecology in Boardman, 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. Antonius Susatyo Hadi, MD NPI is 1033296942. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8401 MARKET ST
BOARDMAN, OH
ZIP 44512-725
Phone: (330) 729-4350
Fax: (330) 729-4351

The enumeration date for this NPI number is 11/1/2006 and was last updated on 12/28/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		35046065	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E07234	MEDICARE UPIN
2	H087621	OTHER	OHIO	MEDICARE PTAN
3	2444519	MEDICAID	OHIO
4	H087621	MEDICARE PIN	OHIO

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

NPI Synchronization or Removal

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