Whole Woman Holistic Gynecology, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

131434 Issued in OH

Legal business name

WHOLE WOMAN HOLISTIC GYNECOLOGY, LLC

Practice address

23 Eric Nord Way Ste 1
Oberlin, OH 44074-1583

Phone

(440) 533-9191

NPI assigned

Apr 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne M. H. Jenkins, MD

Title

Physician, Owner

Phone

(630) 697-0742

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522627200000",
    "number": "1245736941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 EDGEMEER PL",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741402",
            "telephone_number": "630-697-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ERIC NORD WAY STE 1",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741583",
            "telephone_number": "440-533-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE WOMAN HOLISTIC GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M. H.",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "630-697-0742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "131434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; 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.