Organization Active NPI

Tuscarawas County OB-GYN Inc.

  • Obstetrics & Gynecology Physician
  • Dover, OH
National Provider Identifier
1144595745
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TUSCARAWAS COUNTY OB-GYN INC.
Practice address
200 Medical Park Dr
Suite B
Dover, OH 44622-2074
Phone
(330) 343-0890
Fax
(330) 343-0914
NPI assigned
Mar 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Marcel N Nwizu, MD
Title
President
Phone
(330) 343-0890

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Medical Specialty Clinic/Center 261QM2500X 35-06-2669 OH

Addresses

Primary practice location

200 Medical Park Dr
Suite B
Dover, OH 44622-2074

Mailing address

200 Medical Park Dr
Suite B
Dover, OH 44622-2074
Phone (330) 343-0890

Other identifiers 1

IdentifierTypeStateIssuer
0870679MedicaidOH

National Provider Directory

National Provider Directory

Locations

200 Medical Park Dr
Ste B
Dover, OH 44622
Phone (330) 343-0890

200 Medical Park Dr
Dover, OH 44622
Phone (330) 343-0890

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1144595745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222074",
            "telephone_number": "330-343-0890",
            "fax_number": "330-343-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "SUITE B",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222074",
            "telephone_number": "330-343-0890",
            "fax_number": "330-343-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARAWAS COUNTY OB-GYN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "NWIZU",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-343-0890",
        "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
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35-06-2669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0870679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.