Cleveland OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CLEVELAND OBGYN LLC

Practice address

1028 S Broadway
Geneva, OH 44041-7124

Phone

(647) 705-1655

NPI assigned

Mar 16, 2023

Last updated

May 9, 2023By 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

Ahmed Shahata, MDNPI 1871060608

Title

Ceo

Phone

(647) 705-1655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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.

• Ahmed F Shahata, MD

  • Obstetrics & Gynecology Physician
  • Mansfield, OH
  • NPI 1871060608
  Medicare reassignment Care Compare group NPD Authorized official
• Mallory Krzys, PA-C

  • Physician Assistant
  • Geneva, OH
  • NPI 1053035956
  Medicare reassignment Care Compare group
• Michelle Lee Dorsey

  • Midwife
  • Eastlake, OH
  • NPI 1689545329
  Medicare reassignment NPD
• Samantha Kopp, PA

  • Physician Assistant
  • Nashville, TN
  • NPI 1184340267

  OH

  Medicare reassignment

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1386345338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440417124",
            "telephone_number": "647-705-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 S BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "440417124",
            "telephone_number": "647-705-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "SHAHATA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "647-705-1655",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheng Nan Huang MD Inc
• Paul William Christman
• Vincent Cibella, DPM
• Kimberly Sue Clark, LPN
• Clearwater Homes Inc
• Marina Mathilde-Francois Cooke, PTA
• Cooper Owens DDS LLC
• Cooper Owens DDS LLC
• Colleen Jennifer Coyne-Hall, APRN
• Randy Curtin, DO

• Obstetrics & Gynecology Physician in Geneva, OH
• Providers in Geneva, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.