NPIMap

Organization Active NPI

Obstetrical & Gynecological Associates of Akron Inc

  • Obstetrics & Gynecology Physician
  • Akron, OH
National Provider Identifier
1861567091
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34006076C Issued in OH
Legal business name
OBSTETRICAL & GYNECOLOGICAL ASSOCIATES OF AKRON INC
Practice address
605 N Cleveland Massillon Rd
Ste a
Akron, OH 44333
Phone
(330) 668-6545
Fax
(330) 668-2726
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Dr. Lisa Michelle Cousineau, DO
Title
Partner President
Phone
(330) 668-6545

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 34006076C OH Primary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 35035038P OH
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 35080285O OH
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X 34004947 OH

Addresses

Primary practice location

605 N Cleveland Massillon Rd
Ste a
Akron, OH 44333

Mailing address

605 N Cleveland Massillon Rd
Ste a
Akron, OH 44333
Phone (330) 668-6545

Other practice location 1

275 Graham Rd Ste 6
Cuyahoga Falls, OH 44223-2259
Phone (330) 668-6545

Other identifiers 1

IdentifierTypeStateIssuer
034069MedicaidOH

Other names 1

  • OBGYN Associates of Akron Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921000936 OH Part B Supplier - Clinic/Group Practice 5496789232 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Akron, OH; Cuyahoga Falls, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

605 N Cleveland Massillon Rd
Ste 5
Akron, OH 44333

275 Graham Rd
Unit 67
Cuyahoga Falls, OH 44223
Phone (330) 668-6545

275 Graham Rd
Ste 67
Cuyahoga Fls, OH 44223

Practitioners & affiliated clinicians

Practitioners 9

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1861567091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N CLEVELAND MASSILLON RD",
            "address_2": "STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N CLEVELAND MASSILLON RD",
            "address_2": "STE A",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "275 Graham Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "442232259",
            "country_code": "US",
            "telephone_number": "330-668-6545",
            "fax_number": "330-668-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBSTETRICAL & GYNECOLOGICAL ASSOCIATES OF AKRON INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "COUSINEAU",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PARTNER PRESIDENT",
        "authorized_official_telephone_number": "330-668-6545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34006076C",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35035038P",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35080285O",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34004947",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OBGYN Associates of Akron",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OBGYN Associates of Akron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.