Obstetrical & Gynecological

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35034212 Issued in OH

Legal business name

OBSTETRICAL & GYNECOLOGICAL

Practice address

12475 Hospital Dr
Chardon, OH 44024-9028

Phone

(440) 286-6633

NPI assigned

Jul 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vichai Duangjak, M.D.

Title

President

Phone

(440) 286-6633

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1073713939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12475 HOSPITAL DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249028",
            "telephone_number": "440-286-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12475 HOSPITAL DR",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249028",
            "telephone_number": "440-286-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICAL & GYNECOLOGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "DUANGJAK",
        "authorized_official_first_name": "VICHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-286-6633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35034212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206744",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kortney Nyegard
• Belinda O' Brien
• Meghan Bridget O'Connor
• Janet O'Hara, MD
• Bethany Amanda O'Neal, QMHS CMS
• Heather Occhiuto
• Ohio CVS Stores LLC
• Jared Ontko, MD
• Ophthalmology & Oculoplastic Surgery Inc
• Hallie Ortiz

• Obstetrics & Gynecology Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.