Organization Active NPI

Northside Womens Health LLC

  • Specialist
  • Westerville, OH
National Provider Identifier
1104123421
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHSIDE WOMENS HEALTH LLC
Practice address
550 S. Cleveland Ave
Ste D
Westerville, OH 43081-8958
Phone
(614) 865-7600
Fax
(614) 392-2546
NPI assigned
Feb 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Heidi Arbona, M.D.
Title
Owner/Physician
Phone
(614) 865-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35083614 OH
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

550 S. Cleveland Ave
Ste D
Westerville, OH 43081-8958

Mailing address

550 S. Cleveland Ave
Ste D
Westerville, OH 43081-8958
Phone (614) 865-7600

Other identifiers 1

IdentifierTypeStateIssuer
0075546MedicaidOH

National Provider Directory

National Provider Directory

Locations

550 S Cleveland Ave
Ste D
Westerville, OH 43081
Phone (614) 865-7600

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1104123421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S. CLEVELAND AVE",
            "address_2": "STE D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818958",
            "telephone_number": "614-865-7600",
            "fax_number": "614-392-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S. CLEVELAND AVE",
            "address_2": "STE D",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818958",
            "telephone_number": "614-865-7600",
            "fax_number": "614-392-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-23",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "ARBONA",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "614-865-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35083614",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.