Organization Active NPI

Life Stages Womens Health & Wellness Center Inc

  • Obstetrics & Gynecology Physician
  • Massillon, OH
National Provider Identifier
1366485567
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35079641 Issued in OH
Legal business name
LIFE STAGES WOMENS HEALTH & WELLNESS CENTER INC
Practice address
2606 Wales Road
Suite 300
Massillon, OH 44646
Phone
(330) 832-7302
Fax
(330) 832-7325
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Cathy E Hutton
Title
Insurance Claims Processor
Phone
(330) 479-8705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35079641 OH Primary

Addresses

Primary practice location

2606 Wales Road
Suite 300
Massillon, OH 44646

Mailing address

2606 Wales Road
Suite 300
Massillon, OH 44646
Phone (330) 832-7302

Other identifiers 1

IdentifierTypeStateIssuer
2330909MedicaidOH

National Provider Directory

National Provider Directory

Locations

2819 Aaron Wood NW
Massillon, OH 44646
Phone (330) 832-7302

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1366485567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 WALES ROAD",
            "address_2": "SUITE 300",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "330-832-7302",
            "fax_number": "330-832-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 WALES ROAD",
            "address_2": "SUITE 300",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "44646",
            "telephone_number": "330-832-7302",
            "fax_number": "330-832-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STAGES WOMENS HEALTH & WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "INSURANCE CLAIMS PROCESSOR",
        "authorized_official_telephone_number": "330-479-8705"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35079641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.