Active NPI
Marion Women's Health Center Inc
- Specialist
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MARION WOMEN'S HEALTH CENTER INC
- Practice address
- 960 S Prospect St
Marion, OH 43302-6225 - Phone
- (740) 383-2776
- Fax
- (740) 383-2978
- NPI assigned
- Mar 14, 2007
- Last updated
- May 29, 2014
- 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
- Dr. Jaybalan R Moodley, MD
- Title
- Owner
- Phone
- (740) 383-2776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | ||
| Specialist | 174400000X | NU | Primary |
Addresses
Primary practice location
960 S Prospect St
Marion, OH 43302-6225
Mailing address
960 S Prospect St
Marion, OH 43302-6225
Phone (740) 383-2776
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255198 | Medicaid | OH | |
| 0210069 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0961900 | Marion Women's Health Center | Provider-performed microscopy | Jun 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
1199 Delaware Ave
Ste 110
Marion, OH 43302
Phone (740) 383-2776
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.
-
- Obstetrics & Gynecology Physician
- Marion, OH
- NPI 1609805126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401321600000",
"number": "1770616963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 S PROSPECT ST",
"city": "MARION",
"state": "OH",
"postal_code": "433026225",
"telephone_number": "740-383-2776",
"fax_number": "740-383-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 S PROSPECT ST",
"city": "MARION",
"state": "OH",
"postal_code": "433026225",
"telephone_number": "740-383-2776",
"fax_number": "740-383-2978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARION WOMEN'S HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2014-05-29",
"status": "A",
"authorized_official_last_name": "MOODLEY",
"authorized_official_first_name": "JAYBALAN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-383-2776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2255198",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0210069",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
- Marion Speech & Hearing Center
- Marion Township (Marion Township Fire Department)
- Marion Valley SNF Healthcare LLC (Marion Valley Post Acute)
- Marion Waldo Chiropractic LLC (The Ohio Neck and Back Pain Relief Center)
- Marion Waldo Chiropractic LLC
- Marion Youth Development Council Boys and Girls Club Marion Co (Boys and Girls Club Marion Co)
- Christina Markley, PRS
- Cory Scott Marks
- Elizabeth Ann Marron, CRNA
- Ricia Marrs, CDCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.