Organization Active NPI

Southwest Obstetrics and Gynecology Inc

  • Specialist
  • Parma, OH
National Provider Identifier
1164585568
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5207H Issued in OH
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0954829MedicaidOH
4630823OtherOHAETNA
2329661OtherOHAETNA MEDICARE
000000154795OtherOHANTHEM BC BS
000000154795OtherOHBLUECROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.