Organization Active NPI

Gynecologic & Obstetric Consultants of Greater Cincinnati

  • Specialist
  • Cincinnati, OH
National Provider Identifier
1609206283
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-059105 Issued in OH
Legal business name
GYNECOLOGIC & OBSTETRIC CONSULTANTS OF GREATER CINCINNATI
Practice address
2123 Auburn Ave
#528
Cincinnati, OH 45219-2906
Phone
(513) 792-5800
Fax
(513) 792-5806
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Joel David Pranikoff, M.D.
Title
M.D. President
Phone
(513) 792-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-059105 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
#528
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
#528
Cincinnati, OH 45219-2906
Phone (513) 792-5800

Other identifiers 1

IdentifierTypeStateIssuer
0821721MedicaidOH

National Provider Directory

National Provider Directory

Locations

2123 Auburn Ave
#528
Cincinnati, OH 45219
Phone (513) 792-5800

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1609206283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "#528",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-792-5800",
            "fax_number": "513-792-5806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "#528",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-792-5800",
            "fax_number": "513-792-5806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYNECOLOGIC & OBSTETRIC CONSULTANTS OF GREATER CINCINNATI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "PRANIKOFF",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "M.D.  PRESIDENT",
        "authorized_official_telephone_number": "513-792-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-059105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0821721",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.