South Central Ohio Obstetrics and Gynecology, Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC

Practice address

630 W Main St
Suite 307
Wilmington, OH 45177-2170

Phone

(937) 383-1588

Fax

(937) 383-4525

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Rajiv Patel, MDNPI 1902899099

Title

Owner

Phone

(937) 383-1588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

South Central Ohio OBGYN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Central Ohio Obstetrics and Gynecology, Inc

  • Obstetrics & Gynecology Physician
  • Hillsboro, OH
  • NPI 1962623298
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11764/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Rajiv R Patel, MD

  • Obstetrics & Gynecology Physician
  • Wilmington, OH
  • NPI 1902899099
  Medicare reassignment Authorized official
• Gail Lynn Draut, APRN-CNP

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1902094980
  Medicare reassignment
• Jaime Lynn Evanshine, CNP

  • Women's Health Nurse Practitioner
  • Wilmington, OH
  • NPI 1346678760
  Medicare reassignment

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1629038203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 307",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W MAIN ST",
            "address_2": "SUITE 307",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772170",
            "telephone_number": "937-383-1588",
            "fax_number": "937-383-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-383-1588",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2078273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindy Ann Smith, ATC
• Olivia Brielle Smith
• Brittney R Smithson, LMT
• Rachel Sneed, MD
• Donna Jo Snyder, PT
• Southern Ohio Educational Service Center
• Southern Ohio Plastic & Reconstructive Surgical Institute
• Southwest Inpatient Physicians, LLC
• Southwestern Ohio Urology Inc
• Madison Spangler

• Obstetrics & Gynecology Physician in Wilmington, OH
• Providers in Wilmington, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.