Active NPI
Marietta Gynecologic Associates, Inc.
- Obstetrics & Gynecology Physician
- Marietta, OH
National Provider Identifier
1720165202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- N/A
- Legal business name
- MARIETTA GYNECOLOGIC ASSOCIATES, INC.
- Practice address
- 410 2ND St
Marietta, OH 45750-2115 - Phone
- (740) 374-3622
- Fax
- (740) 374-4209
- NPI assigned
- Nov 1, 2006
- 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
- Ms. Karen E Lines
- Title
- Practice Adminstrator
- Phone
- (740) 374-3622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | N/A | Primary |
Addresses
Primary practice location
410 2ND St
Marietta, OH 45750-2115
Mailing address
410 2ND St
Marietta, OH 45750-2115
Phone (740) 374-3622
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006831000 | Medicaid | OH | |
| 0006831000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Marietta, OH
- NPI 1740288687
-
- Gynecology Physician
- Belpre, OH
- NPI 1427055474
-
- Family Medicine Physician
- Ravenswood, WV
- NPI 1023011673
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1720165202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 2ND ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502115",
"telephone_number": "740-374-3622",
"fax_number": "740-374-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 2ND ST",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502115",
"telephone_number": "740-374-3622",
"fax_number": "740-374-4209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIETTA GYNECOLOGIC ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "LINES",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRACTICE ADMINSTRATOR",
"authorized_official_telephone_number": "740-374-3622",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006831000",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006831000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
- Marietta Care, LLC
- Marietta City School District
- Marietta City School District
- Marietta Continuing Care Community, Inc
- Marietta Gynecologic Associates Inc
- Marietta Health and Wellness Center LLC
- Marietta Health Care Physicians, Inc
- Marietta Health Care Physicians, Inc.
- Marietta Health Care Systems, Inc.
- Marietta Healthcare, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.