Emerald Obstetrics and Gynecology LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35077048 Issued in OH

Legal business name

EMERALD OBSTETRICS AND GYNECOLOGY LLC

Practice address

4461 Broadway
Suite 200
Grove City, OH 43123-3064

Phone

(614) 875-0444

Fax

(614) 875-1193

NPI assigned

May 26, 2016

Organization subpart

No

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

Authorized official

Name

Genevieve B Hagerty, M.D.

Title

Owner Physician

Phone

(614) 875-0444

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1841648276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432157048",
            "telephone_number": "614-255-5349",
            "fax_number": "614-467-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4461 BROADWAY",
            "address_2": "SUITE 200",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233064",
            "telephone_number": "614-875-0444",
            "fax_number": "614-875-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD OBSTETRICS AND GYNECOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "HAGERTY",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "614-875-0444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35077048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2342414",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Ellis
• Mohamed Elsayed Elmasry, DO
• Qodah Elmi
• Brittany Elmore, LICDC, LPCC
• Jeanette Leigh Elwell-Cossin, RN
• John G Emmerich, MSW, LISW-S
• Marci Engardio
• Mendi England, NP
• Gage Lee Engle
• Lyndsey A. Enmen, PA

• Obstetrics & Gynecology Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.