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OLYMPIC UROGYNECOLOGY LLC NPI 1043751357


NPI Information

NPI: 1043751357
Provider Name: OLYMPIC UROGYNECOLOGY, LLC
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

Address:
3009 SMITH RD STE 400
FAIRLAWN, OH
ZIP 44333
Phone: (330) 953-3414
Get Directions

OLYMPIC UROGYNECOLOGY, LLC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Fairlawn, OH. The provider is an obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. OLYMPIC UROGYNECOLOGY, LLC NPI is 1043751357. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3009 SMITH RD STE 400
FAIRLAWN, OH
ZIP 44333-670
Phone: (330) 953-3414
Fax: (877) 753-3179

The provider's authorized official is Costas A Apostolis .
The authorized official title is Medical Director and has the following contact phone number (330) 953-3414.

The enumeration date for this NPI number is 3/20/2017 and was last updated on 7/21/2022.


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
1207VG0400XObstetrics & GynecologyGynecologyNo
2207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery35099119OHIOYes

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
10228002MEDICAIDOHIO

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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