Active NPI
Obstetrics-Gyneclogy, Inc.
- Specialist
- Marion, IN
National Provider Identifier
1609835040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 50000120A
- Legal business name
- OBSTETRICS-GYNECLOGY, INC.
- Practice address
- 1389 N Baldwin Ave
Marion, IN 46952-1913 - Phone
- (765) 664-5134
- Fax
- (765) 664-0469
- NPI assigned
- Mar 23, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Bernardin
- Title
- Office Manager
- Phone
- (765) 664-5134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 50000120A | IN | Primary |
Addresses
Primary practice location
1389 N Baldwin Ave
Marion, IN 46952-1913
Mailing address
1389 N Baldwin Ave
Marion, IN 46952-1913
Phone (765) 664-5134
National Provider Directory
National Provider DirectoryLocations
1419 W Bella Dr
Marion, IN 46953
Phone (765) 660-7580
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Obstetrics & Gynecology Physician
- Marion, IN
- NPI 1841293081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609835040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1389 N BALDWIN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469521913",
"telephone_number": "765-664-5134",
"fax_number": "765-664-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1389 N BALDWIN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469521913",
"telephone_number": "765-664-5134",
"fax_number": "765-664-0469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBSTETRICS-GYNECLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BERNARDIN",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "765-664-5134"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "50000120A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.