Organization Active NPI

The Obstetrics and Gynecology Group, Inc.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1649377904
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-069130 Issued in OH
Legal business name
THE OBSTETRICS AND GYNECOLOGY GROUP, INC.
Practice address
2123 Auburn Ave
Suite 434
Cincinnati, OH 45219-2906
Phone
(513) 784-1201
Fax
(513) 333-6470
NPI assigned
Sep 20, 2006
Last updated
Jul 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. David Miles Barrere, M.D.NPI 1295742401
Title
President
Phone
(513) 784-1201

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 35-069130 OH Primary

Addresses

Primary practice location

2123 Auburn Ave
Suite 434
Cincinnati, OH 45219-2906

Mailing address

2123 Auburn Ave
Suite 434
Cincinnati, OH 45219-2906
Phone (513) 784-1201

Other identifiers 2

IdentifierTypeStateIssuer
2289876MedicaidOH
65935298MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060821000217 OH Part B Supplier - Clinic/Group Practice 3173597473 Receives reassigned benefits from 1 practitioner
Practice locations: Cincinnati, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1067583Obstetrics & Gynecology Group Inc2123 Auburn Avenue Suite 434, Cincinnati, OH 45219Provider-performed microscopyApr 22, 2027

National Provider Directory

National Provider Directory

Locations

40 N Grand Ave
Ste 302
Fort Thomas, KY 41075
Phone (513) 752-4494

4452 Eastgate Blvd
Cincinnati, OH 45245
Phone 51375257001204

4452 Eastgate Blvd
Ste 102
Cincinnati, OH 45245
Phone (513) 784-1201

4452 Eastgate Blvd
Ste 302
Cincinnati, OH 45245
Phone (513) 784-1201

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1649377904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 434",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-784-1201",
            "fax_number": "513-333-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVE",
            "address_2": "SUITE 434",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192906",
            "telephone_number": "513-784-1201",
            "fax_number": "513-333-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OBSTETRICS AND GYNECOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "BARRERE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-784-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-069130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2289876",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935298",
            "state": "KY"
        }
    ],
    "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 Jul 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.