Organization Active NPI

Fairfield OB/GYN Assoc Inc

  • Obstetrics & Gynecology Physician
  • Lancaster, PA
National Provider Identifier
1891766382
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34004690G Issued in OH
Legal business name
FAIRFIELD OB/GYN ASSOC INC
Practice address
1319 E Main St
Lancaster, PA 43130
Phone
(614) 451-7346
Fax
(614) 451-5846
NPI assigned
Feb 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Nathaniel P Noble
Title
Agent
Phone
(614) 451-7346

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 34004690G OH Primary
Ambulatory Surgical Clinic/Center 261QA1903X 34004960G OH

Addresses

Primary practice location

1319 E Main St
Lancaster, PA 43130

Mailing address

PO Box 20451
Columbus, OH 43220
Phone (614) 451-7346

Other identifiers 1

IdentifierTypeStateIssuer
0148450MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1891766382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20451",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43220",
            "telephone_number": "614-451-7346",
            "fax_number": "614-451-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 E MAIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "43130",
            "telephone_number": "614-451-7346",
            "fax_number": "614-451-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD OB/GYN ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "614-451-7346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34004690G",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "34004960G",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0148450",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.