Organization Active NPI

Institute for Womens and Childrens Health, Inc.

  • Pediatric Gastroenterology Physician
  • Lyndhurst, OH
National Provider Identifier
1477563989
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
35050627 Issued in OH
Legal business name
INSTITUTE FOR WOMENS AND CHILDRENS HEALTH, INC.
Practice address
29001 Cedar Rd Ste 500
Lyndhurst, OH 44124-6501
Phone
(440) 442-0500
Fax
(440) 442-0501
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Thomas Louis Taxman, MDNPI 1679570220
Title
President
Phone
(440) 442-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 35054200 OH
Pediatric Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0206X 35050627 OH Primary

Addresses

Primary practice location

29001 Cedar Rd Ste 500
Lyndhurst, OH 44124-6501

Mailing address

29001 Cedar Rd Ste 500
Lyndhurst, OH 44124-6501
Phone (440) 442-0500

Other identifiers 1

IdentifierTypeStateIssuer
2125739MedicaidOH

Other names 1

  • Cleveland Health Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120418000391 OH Part B Supplier - Clinic/Group Practice 2567623515 Receives reassigned benefits from 2 practitioners
Practice locations: Lyndhurst, OH

National Provider Directory

National Provider Directory

Locations

3609 Park East Dr
Ste 210N
Beachwood, OH 44122
Phone (216) 896-8000

29001 Cedar Rd
Ste 500
Lyndhurst, OH 44124
Phone (440) 442-0500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1477563989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 500",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441246501",
            "telephone_number": "440-442-0500",
            "fax_number": "440-442-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 500",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441246501",
            "telephone_number": "440-442-0500",
            "fax_number": "440-442-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR WOMENS AND CHILDRENS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "TAXMAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-442-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35054200",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OH",
            "license": "35050627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2125739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleveland Health Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.