Individual provider Active NPI

Ibrahim Sozen, MD

  • Obstetrics & Gynecology Physician
  • Millersburg, OH
National Provider Identifier
1174084453
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.135611 Issued in OH
Practice address
1261 Wooster Rd Ste 220
Millersburg, OH 44654-1570
Phone
(330) 674-3000
Fax
(330) 763-2063
NPI assigned
Mar 28, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.135611 OH Primary

Addresses

Primary practice location

1261 Wooster Rd Ste 220
Millersburg, OH 44654-1570

Mailing address

981 Wooster Rd
Millersburg, OH 44654-1536
Phone (330) 763-2012

Other practice location 1

4900 Oak St
Berlin, OH 44610
Phone (330) 674-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190829000325 OH Practitioner - Obstetrics/Gynecology 3375585243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 3, 2024 Accepting new patients
Mercy Health Physicians Youngstown Specialty Care LLC CurrentSince Feb 3, 2024 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • Direct secure messaging: ibrahimsozen@hphc.allscriptsdirect.net
  • Direct secure messaging: isozen2519156@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1174084453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541536",
            "telephone_number": "330-763-2012",
            "fax_number": "330-674-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 WOOSTER RD STE 220",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446541570",
            "telephone_number": "330-674-3000",
            "fax_number": "330-763-2063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4900 Oak St",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "OH",
            "postal_code": "44610",
            "country_code": "US",
            "telephone_number": "330-674-3000",
            "fax_number": "330-763-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOZEN",
        "first_name": "IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.135611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

Verify at the official NPI Registry.