Maumee Bay Obstetrics & Gynecology Inc P a

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MAUMEE BAY OBSTETRICS & GYNECOLOGY INC P A

Practice address

2702 Navarre Ave
Suite 305
Oregon, OH 43616-3223

Phone

(419) 691-8000

Fax

(419) 693-0111

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mitchell Gordon Greenbaum, D.O.

Title

President/Physician

Phone

(419) 691-8000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1215023650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE",
            "address_2": "SUITE 305",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163223",
            "telephone_number": "419-691-8000",
            "fax_number": "419-693-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE",
            "address_2": "SUITE 305",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163223",
            "telephone_number": "419-691-8000",
            "fax_number": "419-693-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE BAY OBSTETRICS & GYNECOLOGY INC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "GREENBAUM",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "419-691-8000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2290882",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendall Mattoni, OD
• Les L Maugel, R.PH.
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• Maumee Bay Mobile Speech Services
• Carolyn J Maynhart, LDO
• Christine Kay McBride, CNM
• Mark McCombs, M.D.
• Kelly C McGee, NP C
• Bridget Aileen McLaughlin, CNM

• Obstetrics & Gynecology Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.