Organization Active NPI

Marion Women's Health Center Inc

  • Specialist
  • Marion, OH
National Provider Identifier
1770616963
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Jaybalan R Moodley, MDNPI 1609805126
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2255198MedicaidOH
0210069MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0961900Marion Women's Health Center960 South Prospect Street, Marion, OH 43302Provider-performed microscopyJun 20, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.