Marietta Gynecologic Associates Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MARIETTA GYNECOLOGIC ASSOCIATES INC

Practice address

410 2ND St
Marietta, OH 45750-2115

Phone

(740) 374-3622

Fax

(740) 374-4209

NPI assigned

Nov 8, 2006

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen E Lines

Title

Practice Administrator

Phone

(740) 374-3622

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MGA Lab Other name

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.

• Warren L Cooper, MD

  • Obstetrics & Gynecology Physician
  • Marietta, OH
  • NPI 1740288687
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1265502520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502115",
            "telephone_number": "740-374-3622",
            "fax_number": "740-374-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502115",
            "telephone_number": "740-374-3622",
            "fax_number": "740-374-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIETTA GYNECOLOGIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "LINES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "740-374-3622",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006831001",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2487205",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGA Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marietta Area Health Inc (Harmar Place Rehabilitation and Extended Care)
• Marietta Care, LLC (Arbors at Marietta)
• Marietta City School District
• Marietta City School District
• Marietta Continuing Care Community, Inc (The Pines At Glenwood)
• Marietta Gynecologic Associates, Inc.
• Marietta Health and Wellness Center LLC
• Marietta Health Care Physicians, Inc
• Marietta Health Care Physicians, Inc.
• Marietta Health Care Systems, Inc. (Physicians Care of Marietta)

• Clinical Medical Laboratory in Marietta, OH
• Providers in Marietta, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.