Active NPI
Life Stages Womens Health & Wellness Center Inc
- Obstetrics & Gynecology Physician
- Massillon, OH
National Provider Identifier
1366485567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35079641
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2330909 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.