Organization Active NPI

Westbrook OB/GYN, Inc.

  • Specialist
  • Canton, OH
National Provider Identifier
1770779720
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WESTBROOK OB/GYN, INC.
Practice address
2525 13TH St NW
Canton, OH 44708-3118
Phone
(330) 455-5231
Fax
(330) 455-1403
NPI assigned
Sep 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Victor Hiram Bazzoli, M.D.NPI 1255377651
Title
Physician
Phone
(330) 455-5231

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X OH Primary

Addresses

Primary practice location

2525 13TH St NW
Canton, OH 44708-3118

Mailing address

2525 13TH St NW
Canton, OH 44708-3118
Phone (330) 455-5231

Other identifiers 7

IdentifierTypeStateIssuer
0971104MedicaidOH
WE9264621OtherOHMEDICARE
000000163741OtherOHANTHEM
000000182566OtherOHUNISON
734099OtherBUCKEYE
104605OtherOHKAISER
2012181OtherOHHOMETOWN HEALTH

National Provider Directory

National Provider Directory

Locations

2525 13th St NW
Canton, OH 44708
Phone (216) 455-5231

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1770779720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083118",
            "telephone_number": "330-455-5231",
            "fax_number": "330-455-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 13TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447083118",
            "telephone_number": "330-455-5231",
            "fax_number": "330-455-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBROOK OB/GYN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-23",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "BAZZOLI",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HIRAM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-455-5231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0971104",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "WE9264621",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000163741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000182566",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "734099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "104605",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN HEALTH",
            "identifier": "2012181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.