Organization Active NPI

Jennserville Obstetrics and Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • West Grove, PA
National Provider Identifier
1235125329
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JENNSERVILLE OBSTETRICS AND GYNECOLOGY, LLC
Practice address
1011 W Baltimore Pike
Suite 102
West Grove, PA 19390-9446
Phone
(610) 896-8919
Fax
(610) 869-8913
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Allan Waiming Ho, MDNPI 1497741425
Title
Owner
Phone
(610) 869-8919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1011 W Baltimore Pike
Suite 102
West Grove, PA 19390-9446

Mailing address

1011 W Baltimore Pike
Suite 102
West Grove, PA 19390-9446
Phone (610) 896-8919

Other identifiers 1

IdentifierTypeStateIssuer
0019085770005MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1235125329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE",
            "address_2": "SUITE 102",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909446",
            "telephone_number": "610-896-8919",
            "fax_number": "610-869-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W BALTIMORE PIKE",
            "address_2": "SUITE 102",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909446",
            "telephone_number": "610-896-8919",
            "fax_number": "610-869-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNSERVILLE OBSTETRICS AND GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "WAIMING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-869-8919",
        "authorized_official_credential": "MD"
    },
    "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": "0019085770005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.