Active NPI
Advanced Womens Health and Surgery LLC
- Gynecology Physician
- Westlake, OH
National Provider Identifier
1003479288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- ADVANCED WOMENS HEALTH AND SURGERY LLC
- Practice address
- 25200 Center Ridge Rd
Westlake, OH 44145-4141 - Phone
- (216) 296-0458
- NPI assigned
- Apr 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Habibeh Gitiforooz, MD
- Title
- Owner
- Phone
- (216) 296-0458
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
25200 Center Ridge Rd
Westlake, OH 44145-4141
Mailing address
PO Box 314
Chagrin Falls, OH 44022-0314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2229127 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
27877 Clemens Rd
Westlake, OH 44145
Phone (216) 226-8700
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Lakewood, OH
- NPI 1912959909
-
- Family Nurse Practitioner
- Cleveland, OH
- NPI 1265107031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555286400000",
"number": "1003479288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 314",
"city": "CHAGRIN FALLS",
"state": "OH",
"postal_code": "440220314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25200 CENTER RIDGE RD",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454141",
"telephone_number": "216-296-0458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED WOMENS HEALTH AND SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A",
"authorized_official_last_name": "GITIFOROOZ",
"authorized_official_first_name": "HABIBEH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "216-296-0458",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2229127",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.