Organization Active NPI

Suburban OB/GYN, Inc

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1124138144
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SUBURBAN OB/GYN, INC
Practice address
11124 Marlette Dr
Cincinnati, OH 45249-2253
Phone
(937) 271-6471
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Dr. Lori M Hemmelgarn, M.D.
Title
President
Phone
(937) 271-6471

Specialties & licenses 1

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

Addresses

Primary practice location

11124 Marlette Dr
Cincinnati, OH 45249-2253

Mailing address

11124 Marlette Dr
Cincinnati, OH 45249-2253
Phone (937) 271-6471

Other identifiers 1

IdentifierTypeStateIssuer
2437027MedicaidOH

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

7211 N Main St
Dayton, OH 45415
Phone (937) 293-8322

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1124138144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11124 MARLETTE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492253",
            "telephone_number": "937-271-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 MARLETTE DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492253",
            "telephone_number": "937-271-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN OB/GYN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "HEMMELGARN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-271-6471",
        "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": "2437027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.