Organization Active NPI

Oxford OB/GYN, Inc

  • Obstetrics & Gynecology Physician
  • Oxford, OH
National Provider Identifier
1124103601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OXFORD OB/GYN, INC
Practice address
110 N Poplar St
Third Floor
Oxford, OH 45056-1204
Phone
(513) 523-1177
Fax
(513) 523-4490
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John T Harlan, M.D.
Title
Owner
Phone
(513) 523-2158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

110 N Poplar St
Third Floor
Oxford, OH 45056-1204

Mailing address

5225 Morning Sun Rd
Suite a
Oxford, OH 45056-8929
Phone (513) 523-2158

Other identifiers 1

IdentifierTypeStateIssuer
0313306MedicaidOH

National Provider Directory

National Provider Directory

Locations

110 N Poplar St
Fl Third
Oxford, OH 45056
Phone (513) 523-1177

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124103601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 MORNING SUN RD",
            "address_2": "SUITE A",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450568929",
            "telephone_number": "513-523-2158",
            "fax_number": "513-523-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N POPLAR ST",
            "address_2": "THIRD FLOOR",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450561204",
            "telephone_number": "513-523-1177",
            "fax_number": "513-523-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD OB/GYN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-523-2158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0313306",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.