Obstetrics & Gynecology South, Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

35.043084 Issued in OH

Legal business name

OBSTETRICS & GYNECOLOGY SOUTH, INC

Practice address

2510 Commons Blvd Ste 200a
Beavercreek, OH 45431-3829

Phone

(937) 558-3088

NPI assigned

Oct 12, 2012

Organization subpart

Yes

Parent organization

OBSTETRICS & GYNECOLOGY SOUTHAs reported in NPPES

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

Authorized official

Name

Art Altman, MD

Title

President

Phone

(937) 296-0167

Specialties & licenses 1

Addresses

Other identifiers 6

Part of

Obstetrics and Gynecology

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Obstetrics and Gynecology South, Inc

  • Specialist
  • Springboro, OH
  • NPI 1245404789
  NPPES parent name

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1396097549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD",
            "address_2": "STE 4600",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291264",
            "telephone_number": "937-296-0167",
            "fax_number": "937-297-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD STE 200A",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313829",
            "telephone_number": "937-558-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSTETRICS & GYNECOLOGY SOUTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OBSTETRICS & GYNECOLOGY SOUTH",
        "enumeration_date": "2012-10-12",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "ART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-296-0167",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35.043084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864888",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0723417",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2109935",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2792198",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0589144",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill O'Connor, PA-C
• Molly O'Neill, O.D.
• Oak Creek OBGYN
• Kennedy R Oak
• Daniel Gerald Obrien, DDS
• Alyssa Ofat, PT, DPT
• Sonya Faye Oglesby
• Ohio CVS Stores LLC (CVS Pharmacy #)
• Ohio CVS Stores LLC (CVS Pharmacy 03458)
• Ohio Physicians Eyecare Group, P.a., Inc.

• Legal Medicine in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Legal Medicine in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.