NPIMap

Organization Active NPI

Pedestals for Womens Health LLC

  • Obstetrics & Gynecology Physician
  • Steubenville, OH
National Provider Identifier
1851794242
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.073473 Issued in OH
Legal business name
PEDESTALS FOR WOMENS HEALTH LLC
Practice address
1 Ross Park Blvd
Suite G-2
Steubenville, OH 43952-2681
Phone
(740) 346-2014
Fax
(740) 346-2013
NPI assigned
Sep 30, 2014
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Jessica Ybanez-Morano, MDNPI 1255367975
Title
Owner
Phone
(740) 282-6390

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35.073473 OH Primary

Addresses

Primary practice location

1 Ross Park Blvd
Suite G-2
Steubenville, OH 43952-2681

Mailing address

380 Summit Ave
Mso Physician Billing
Steubenville, OH 43952-2667
Phone (740) 283-7597

Other identifiers 1

IdentifierTypeStateIssuer
0111251MedicaidOH

National Provider Directory

National Provider Directory

Locations

4100 Johnson Rd
Steubenville, OH 43952
Phone (740) 264-5300

Practitioners & affiliated clinicians

Practitioners 5

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1851794242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SUMMIT AVE",
            "address_2": "MSO PHYSICIAN BILLING",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522667",
            "telephone_number": "740-283-7597",
            "fax_number": "740-283-7608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROSS PARK BLVD",
            "address_2": "SUITE G-2",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522681",
            "telephone_number": "740-346-2014",
            "fax_number": "740-346-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDESTALS FOR WOMENS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "YBANEZ-MORANO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-282-6390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.073473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.