NPIMap

Organization Active NPI

Samaritan OB GYN Inc

  • Obstetrics & Gynecology Physician
  • Harrison, OH
National Provider Identifier
1558474189
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SAMARITAN OB GYN INC
Practice address
1149 Stone Dr
Suite 100
Harrison, OH 45030-2763
Phone
(513) 559-9411
Fax
(513) 559-0419
NPI assigned
Aug 17, 2006
Last updated
Sep 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Graig William Smith, M.D.NPI 1922079383
Title
President
Phone
(513) 559-9411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1149 Stone Dr
Suite 100
Harrison, OH 45030-2763

Mailing address

3219 Clifton Ave
Suite 230
Cincinnati, OH 45220-3027
Phone (513) 559-9411

Other identifiers 2

IdentifierTypeStateIssuer
36D0899783OtherOHCLIA PPMP
0220666MedicaidOH

National Provider Directory

National Provider Directory

Locations

3175 Solutions Ctr
Chicago, IL 60677

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1558474189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 CLIFTON AVE",
            "address_2": "SUITE 230",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452203027",
            "telephone_number": "513-559-9411",
            "fax_number": "513-559-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 STONE DR",
            "address_2": "SUITE 100",
            "city": "HARRISON",
            "state": "OH",
            "postal_code": "450302763",
            "telephone_number": "513-559-9411",
            "fax_number": "513-559-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN OB GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GRAIG",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-559-9411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA PPMP",
            "identifier": "36D0899783",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.