Glass City OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GLASS CITY OBGYN LLC

Practice address

1319 E Main St
Lancaster, OH 43130-4005

Phone

(740) 687-2229

Fax

(740) 687-2220

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sean Nathaniel Jerig, MD

Title

Owner

Phone

(740) 687-2229

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• River Valley Womens Health Doing business as

Electronic endpoints 1

Practitioners 1

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

• Deborah Smith Bredestege, M.D.

  • Obstetrics & Gynecology Physician
  • Dayton, OH
  • NPI 1871732289
  NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1124649504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304005",
            "telephone_number": "740-687-2229",
            "fax_number": "740-687-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431304005",
            "telephone_number": "740-687-2229",
            "fax_number": "740-687-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASS CITY OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-09-02",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "JERIG",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-687-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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": "0280314",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1319 E Main St",
            "city": "Lancaster",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431304005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "River Valley Womens Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "River Valley Womens Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Michael Gilbert, LICDC, LSW
• Tiffany Gilbert
• Carolyn Louise Gilliam, OTR/L
• Joseph M Ginty, MD
• Rachel Elizabeth Glasgow, DO
• Wendy S Glass, PMHNP-BC
• Terrence Glasser
• Ammie Jo Glenn, LPN
• Brooke Lynn Glick
• Brandy Jo Godwin, PRS

• Obstetrics & Gynecology Physician in Lancaster, OH
• Providers in Lancaster, 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 Sep 2, 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.