Active NPI
Southwest Obstetrics and Gynecology Inc
- Specialist
- Parma, OH
National Provider Identifier
1164585568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5207H
- Legal business name
- SOUTHWEST OBSTETRICS AND GYNECOLOGY INC
- Practice address
- 6681 Ridge Rd
Suite 206
Parma, OH 44129-5713 - Phone
- (440) 886-4477
- Fax
- (440) 886-7371
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William K Hahn Jr., M.D.
- Title
- Pesident and Ceo
- Phone
- (440) 886-4477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5207H | OH | Primary |
Addresses
Primary practice location
6681 Ridge Rd
Suite 206
Parma, OH 44129-5713
Mailing address
6681 Ridge Rd
Suite 206
Parma, OH 44129-5713
Phone (440) 886-4477
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0954829 | Medicaid | OH | |
| 4630823 | Other | OH | AETNA |
| 2329661 | Other | OH | AETNA MEDICARE |
| 000000154795 | Other | OH | ANTHEM BC BS |
| 000000154795 | Other | OH | BLUECROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1164585568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6681 RIDGE RD",
"address_2": "SUITE 206",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "440-886-4477",
"fax_number": "440-886-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6681 RIDGE RD",
"address_2": "SUITE 206",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "440-886-4477",
"fax_number": "440-886-7371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST OBSTETRICS AND GYNECOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PESIDENT AND CEO",
"authorized_official_telephone_number": "440-886-4477",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "5207H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0954829",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4630823",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA MEDICARE",
"identifier": "2329661",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "000000154795",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD",
"identifier": "000000154795",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.