Organization Active NPI

Planned Parenthood of Greater Ohio

  • Non-Surgical Family Planning Clinic/Center
  • Lorain, OH
National Provider Identifier
1649618893
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
Legal business name
PLANNED PARENTHOOD OF GREATER OHIO
Practice address
200 W 9TH St
Lorain, OH 44052-1981
Phone
(800) 230-7526
Fax
(234) 402-4086
NPI assigned
Jun 10, 2013
Last updated
Jun 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PLANNED PARENTHOOD OF GREATER OHIOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Authorized official

Name
Erica Wilson-Domer
Title
President/Ceo
Phone
(614) 224-2235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X Primary

Addresses

Primary practice location

200 W 9TH St
Lorain, OH 44052-1981

Mailing address

PO Box 933428
Cleveland, OH 44193-0039
Phone (234) 402-4086

Other identifiers 1

IdentifierTypeStateIssuer
2796452MedicaidOH

Other names 1

  • Planned Parenthood of Northeast Ohio Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000608 OH Part B Supplier - Clinic/Group Practice 4688563448 Receives reassigned benefits from 68 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Athens, OH; Youngstown, OH; Warren, OH; Toledo, OH; Rocky River, OH; Mansfield, OH; Lorain, OH; Kent, OH…

Other NPIs on the same Medicare enrollment 14

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 14

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of N24 organizations share this tax ID, including this one
Part of
Planned Parenthood of N

Other organizations with this tax ID 23

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

View all 23

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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.

NPI Registry JSON

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685664000000",
    "number": "1649618893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 933428",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930039",
            "telephone_number": "234-402-4086",
            "fax_number": "234-402-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 9TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521981",
            "telephone_number": "800-230-7526",
            "fax_number": "234-402-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF GREATER OHIO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PLANNED PARENTHOOD OF GREATER OHIO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A",
        "authorized_official_last_name": "WILSON-DOMER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "614-224-2235"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2796452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood of Northeast Ohio",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Planned Parenthood of Northeast Ohio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; 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.