Provider Type Icon

GLASS CITY OBGYN LLC NPI 1124649504


NPI Information

NPI: 1124649504
Provider Name: GLASS CITY OBGYN LLC

Doing Business As: RIVER VALLEY WOMENS HEALTH

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

CLIA Number: 36D2188699

Address:
1319 E MAIN ST
LANCASTER, OH
ZIP 43130
Phone: (740) 687-2229
Get Directions

GLASS CITY OBGYN LLC is an obstetrics gynecology in Lancaster, 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. GLASS CITY OBGYN LLC NPI is 1124649504. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As River Valley Womens Health.

The provider's business location address is:

1319 E MAIN ST
LANCASTER, OH
ZIP 43130-005
Phone: (740) 687-2229
Fax: (740) 687-2220

The provider's authorized official is Sean Nathaniel Jerig .
The authorized official title is Owner and has the following contact phone number (740) 687-2229.

The CLIA number assigned to this NPI record is 36D2188699 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2020 and was last updated on 9/2/2020.


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
10280314MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.