NPIMap

Organization Active NPI

Elizaga & Elizaga Associates, Inc.

  • Gynecology Physician
  • Steubenville, OH
National Provider Identifier
1346324514
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35.037113 Issued in OH
Legal business name
ELIZAGA & ELIZAGA ASSOCIATES, INC.
Practice address
1524 Sunset Blvd
Suite C
Steubenville, OH 43952-1380
Phone
(740) 282-5349
Fax
(740) 282-5340
NPI assigned
Oct 24, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Teodora Balquiedra Elizaga, M.D.NPI 1508919341
Title
President
Phone
(740) 282-5349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 35.037113 OH Primary

Addresses

Primary practice location

1524 Sunset Blvd
Suite C
Steubenville, OH 43952-1380

Mailing address

1524 Sunset Blvd
Suite C
Steubenville, OH 43952-1380
Phone (740) 282-5349

Other identifiers 5

IdentifierTypeStateIssuer
A37113OtherOHHEALTH PLAN PROVIDER #
0022513OtherOHBOX 24K MT STATE BCBS
095443212001OtherOHMED MUT PROVIDER NUMBER
000000128366OtherOHBCBS PROVIDER NUMBER
1807015000OtherOHWV WELFARE PROVIDER #

National Provider Directory

National Provider Directory

Locations

1524 Sunset Blvd
Ste C
Steubenville, OH 43952
Phone (614) 282-5349

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1346324514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD",
            "address_2": "SUITE C",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "740-282-5349",
            "fax_number": "740-282-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD",
            "address_2": "SUITE C",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "740-282-5349",
            "fax_number": "740-282-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZAGA & ELIZAGA ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ELIZAGA",
        "authorized_official_first_name": "TEODORA",
        "authorized_official_middle_name": "BALQUIEDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-282-5349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35.037113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN PROVIDER #",
            "identifier": "A37113",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOX 24K MT STATE BCBS",
            "identifier": "0022513",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED MUT PROVIDER NUMBER",
            "identifier": "095443212001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000128366",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV WELFARE PROVIDER #",
            "identifier": "1807015000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.