NPIMap

Organization Active NPI

OB GYN Associates of Greene County,LLC

  • Obstetrics & Gynecology Physician
  • Xenia, OH
National Provider Identifier
1205827052
Registry record updated Aug 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.075281 Issued in OH
Legal business name
OB GYN ASSOCIATES OF GREENE COUNTY,LLC
Practice address
121 S Progress Dr
Xenia, OH 45385-2673
Phone
(937) 376-9731
Fax
(937) 376-5521
NPI assigned
Nov 1, 2005
Last updated
Aug 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2010

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

Authorized official

Name
Katherine S Lin, MDNPI 1437118858
Title
Owner
Phone
(937) 376-9731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.075281 OH Primary

Addresses

Primary practice location

121 S Progress Dr
Xenia, OH 45385-2673

Mailing address

121 S Progress Dr
Xenia, OH 45385-2673
Phone (937) 376-9731

Other identifiers 6

IdentifierTypeStateIssuer
D75281OtherHUMANA
359642086003OtherMEDICAL MUTUAL
7159289OtherAETNA
000000212130OtherANTHEM
0702833OtherUHC
2256259MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1205827052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852673",
            "telephone_number": "937-376-9731",
            "fax_number": "937-376-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852673",
            "telephone_number": "937-376-9731",
            "fax_number": "937-376-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB GYN ASSOCIATES OF GREENE COUNTY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-376-9731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.075281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "D75281",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "359642086003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7159289",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000212130",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0702833",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2256259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.