Organization Active NPI

Miami County OB-GYN Associates LLC

  • Ambulatory Surgical Clinic/Center
  • Troy, OH
National Provider Identifier
1194376269
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MIAMI COUNTY OB-GYN ASSOCIATES LLC
Practice address
1930 Prime CT Ste 105
Troy, OH 45373-9045
Phone
(937) 339-7982
Fax
(937) 339-7842
NPI assigned
Sep 20, 2019
Last updated
Sep 20, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MIAMI COUNTY OB-GYN ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Susan J Covelli
Title
Manager
Phone
(937) 339-7982

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1930 Prime CT Ste 105
Troy, OH 45373-9045

Mailing address

1930 Prime CT Ste 105
Troy, OH 45373-9045
Phone (937) 339-7982

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0721065Miami County OB/GYN & Associates1930 Prime CT Ste 105, Troy, OH 45373Provider-performed microscopyAug 14, 2027

National Provider Directory

National Provider Directory
Part of
Miami County OB-GYN Associates LLC

Locations

1930 Prime Ct
Ste 105
Troy, OH 45373
Phone (937) 339-7982

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1194376269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PRIME CT STE 105",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453739045",
            "telephone_number": "937-339-7982",
            "fax_number": "937-339-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 PRIME CT STE 105",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453739045",
            "telephone_number": "937-339-7982",
            "fax_number": "937-339-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COUNTY OB-GYN ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MIAMI COUNTY OB-GYN ASSOCIATES LLC",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "COVELLI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-339-7982"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.