Individual provider Active NPI

Olga Kontarovich

  • Obstetrics & Gynecology Physician
  • Vermilion, OH
National Provider Identifier
1306349154
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34.017222 Issued in OH
Practice address
1605 State Route 60 Ste 8
Vermilion, OH 44089-9141
Phone
(440) 934-8344
Fax
(440) 934-8345
NPI assigned
Mar 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 34.017222 OH Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1605 State Route 60 Ste 8
Vermilion, OH 44089-9141

Mailing address

1605 State Route 60 Ste 8
Vermilion, OH 44089-9141
Phone (440) 967-8713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821004370 OH Practitioner - Obstetrics/Gynecology 3678011665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lorain Specialty Care LLCGroup PAC ID 4688070055, 134 clinicians

Practice addresses (Care Compare)

1607 State Rd
Suite 6
Vermilion, OH 44089-9142
Phone (440) 934-8344

5327 Detroit Rd
Sheffield Village, OH 44054-2903
Phone (440) 934-8344

578 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 960-3912

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Lorain, OH, CCN 360172
  • Mercy Allen Hospital Hospital, Oberlin, OH, CCN 361306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Aug 26, 2024 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Aug 26, 2024 Accepting new patients
Mercy Health-Regional Medical Center LLC Past Accepting new patients

Locations

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

5327 Detroit Rd
Sheffield Village, OH 44054
Phone (440) 365-2600

1605 State Route 60
Ste 8
Vermilion, OH 44089
Phone (440) 967-8713

Interoperability endpoints

  • Direct secure messaging: okontarovich654661@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1306349154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 STATE ROUTE 60 STE 8",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899141",
            "telephone_number": "440-967-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 STATE ROUTE 60 STE 8",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899141",
            "telephone_number": "440-934-8344",
            "fax_number": "440-934-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONTAROVICH",
        "first_name": "OLGA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34.017222",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

Verify at the official NPI Registry.