Northwest Ohio OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

NORTHWEST OHIO OBGYN LLC

Practice address

547 Harmon Rd
Bluffton, OH 45817-1033

Phone

(419) 369-4600

Fax

(419) 369-4603

NPI assigned

Jan 31, 2007

Last updated

Jan 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Desrene K Brown, M.D.NPI 1689625543

Title

Presedent Owner

Phone

(419) 369-4600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Desrene K Brown, MD

  • Obstetrics & Gynecology Physician
  • Bluffton, OH
  • NPI 1689625543
  Medicare reassignment NPD Authorized official
• Emily Kurland, NP

  • Women's Health Nurse Practitioner
  • Bluffton, OH
  • NPI 1851414130
  Medicare reassignment NPD
• Kimbra Lee Moore

  • Gerontology Nurse Practitioner
  • Lima, OH
  • NPI 1992212211
  Medicare reassignment NPD
• Erika Marie King, PA-C

  • Physician Assistant
  • Findlay, OH
  • NPI 1962701987
  Medicare reassignment
• Nicole Marie Pothast, MSN, CNM

  • Advanced Practice Midwife
  • Bryan, OH
  • NPI 1104376219
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1154468809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 HARMON ROAD",
            "address_2": "P.O. BOX 129",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "45817",
            "telephone_number": "419-369-4600",
            "fax_number": "419-369-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 HARMON RD",
            "city": "BLUFFTON",
            "state": "OH",
            "postal_code": "458171033",
            "telephone_number": "419-369-4600",
            "fax_number": "419-369-4603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OHIO OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DESRENE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESEDENT OWNER",
        "authorized_official_telephone_number": "419-369-4600",
        "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": [],
    "endpoints": [],
    "other_names": []
}

• Mennonite Memorial Home
• Mennonite Memorial Home Communities of Ohio
• Breanna Miller, LSW
• Lorraine Kathryn Nester, RD, LD, IBCLC
• Alison Renee Niemeyer, DPM
• Northwest Ohio Orthopedics and Sports Medicine, Inc
• Northwest Ohio Rheumatology Inc
• Christian Krause Nygaard, RPH, MBA
• Ohio CVS Stores, L.L.C. (CVS Pharmacy #11213)
• Orthopaedic Institute of Ohio

• Obstetrics & Gynecology Physician in Bluffton, OH
• Providers in Bluffton, 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 Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.