Organization Active NPI

Professionals for Womens Health Inc

  • Obstetrics & Gynecology Physician
  • Columbus, OH
National Provider Identifier
1649384223
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PROFESSIONALS FOR WOMENS HEALTH INC
Practice address
921B Jasonway Ave
Columbus, OH 43214-2330
Phone
(614) 268-8800
Fax
(614) 447-8876
NPI assigned
Aug 19, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Authorized official

Name
Dr. Kevin J Hackett, M.D.NPI 1497750897
Title
Managing Partner
Phone
(614) 268-8800

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X OH Primary

Addresses

Primary practice location

921B Jasonway Ave
Columbus, OH 43214-2330

Mailing address

921B Jasonway Ave
Columbus, OH 43214-2330
Phone (614) 268-8800

Other identifiers 1

IdentifierTypeStateIssuer
0962696MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000053 OH Part B Supplier - Clinic/Group Practice 0749259919 Receives reassigned benefits from 20 practitioners
Practice locations: Dublin, OH; Columbus, OH

National Provider Directory

National Provider Directory

Locations

3045 Olentangy River Rd
Columbus, OH 43202
Phone (614) 268-8800

921 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 268-3505

6870A Perimeter Dr
Dublin, OH 43016

94 N High St
Dublin, OH 43017
Phone (614) 268-8800

430 Altair Pkwy
Ste 10
Westerville, OH 43082

430 Altair Pkwy
Ste 100
Westerville, OH 43082
Phone (614) 957-7701

495 Cooper Rd
Ste 401
Westerville, OH 43081
Phone (614) 268-8800

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1649384223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921B JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142330",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921B JASONWAY AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142330",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONALS FOR WOMENS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "614-268-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0962696",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.