Active NPI
Seven Hills OB-GYN Associates LLC
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
National Provider Identifier
1710621776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- SEVEN HILLS OB-GYN ASSOCIATES LLC
- Practice address
- 10307 Dupont Circle Dr W Ste a
Fort Wayne, IN 46825-1633 - Phone
- (260) 458-3440
- Fax
- (260) 458-3441
- NPI assigned
- Apr 26, 2022
- 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
- John J Fernandez
- Title
- VP RCM
- Phone
- (516) 972-1568
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary | ||
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | 207VF0040X | |||
| Nurse Practitioner | 363L00000X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
10307 Dupont Circle Dr W Ste a
Fort Wayne, IN 46825-1633
Mailing address
11595 N Meridian St Ste 375
Carmel, IN 46032-3950
Phone (317) 575-7304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300062477 | Medicaid | IN |
National Provider Directory
National Provider Directory- Tax ID family
- Seven Hills OB-GYN Associates LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Reproductive Endocrinology Physician
- Carmel, IN
- NPI 1669189619
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
-
- Obstetrics & Gynecology Physician
- Fort Wayne, IN
- NPI 1841996782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663027200000",
"number": "1710621776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11595 N MERIDIAN ST STE 375",
"city": "CARMEL",
"state": "IN",
"postal_code": "460323950",
"telephone_number": "317-575-7304",
"fax_number": "317-575-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10307 DUPONT CIRCLE DR W STE A",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251633",
"telephone_number": "260-458-3440",
"fax_number": "260-458-3441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEVEN HILLS OB-GYN ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-26",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VP RCM",
"authorized_official_telephone_number": "516-972-1568"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207VF0040X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300062477",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.