Individual provider Active NPI

Jane S Oh, MD

  • Obstetrics Physician
  • Arlington HTS, IL
National Provider Identifier
1396731337
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036103033 Issued in IL
Practice address
675 W Central Rd
Suite 100a
Arlington HTS, IL 60005-2376
Phone
(847) 392-9191
Fax
(847) 392-9811
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 036103033 IL Primary

Addresses

Primary practice location

675 W Central Rd
Suite 100a
Arlington HTS, IL 60005-2376

Mailing address

675 W Central Rd
Suite 100a
Arlington HTS, IL 60005-2376
Phone (847) 392-9191

Other identifiers 1

IdentifierTypeStateIssuer
036103033MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000279 IL Practitioner - Obstetrics/Gynecology 9638162688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036103033ILMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecological & Obstetric Assocs, S.C. CurrentSince Oct 1, 2003 Accepting new patients

Locations

1614 W Central Rd
Ste 205
Arlington Hts, IL 60005
Phone (847) 392-9191

675 W Central Rd
Ste 100A
Arlington Hts, IL 60005
Phone (847) 392-9191

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1396731337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 W CENTRAL RD",
            "address_2": "SUITE 100A",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052376",
            "telephone_number": "847-392-9191",
            "fax_number": "847-392-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 W CENTRAL RD",
            "address_2": "SUITE 100A",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052376",
            "telephone_number": "847-392-9191",
            "fax_number": "847-392-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "JANE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036103033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

Verify at the official NPI Registry.