Organization Active NPI

Warren Obstetrics and Gynecology

  • Advanced Practice Midwife
  • Warren, PA
National Provider Identifier
1861433245
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
WARREN OBSTETRICS AND GYNECOLOGY
Practice address
2265 Market St
Suite B
Warren, PA 16365-4668
Phone
(814) 723-2323
Fax
(814) 723-2024
NPI assigned
Jun 9, 2006
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Mr. J. John Maljovec, M.D.
Title
Owner / M.D.
Phone
(814) 723-8101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X Primary

Addresses

Primary practice location

2265 Market St
Suite B
Warren, PA 16365-4668

Mailing address

2265 Market St
Suite B
Warren, PA 16365-4668
Phone (814) 723-2323

Other identifiers 1

IdentifierTypeStateIssuer
888043OtherPABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1861433245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 MARKET ST",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654668",
            "telephone_number": "814-723-2323",
            "fax_number": "814-723-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 MARKET ST",
            "address_2": "SUITE B",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163654668",
            "telephone_number": "814-723-2323",
            "fax_number": "814-723-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN OBSTETRICS AND GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "MALJOVEC",
        "authorized_official_first_name": "J. JOHN",
        "authorized_official_title_or_position": "OWNER / M.D.",
        "authorized_official_telephone_number": "814-723-8101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "888043",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.