Active NPI
OB GYN LTD
- Obstetrics & Gynecology Physician
- Springfield, OH
National Provider Identifier
1891898276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- OB GYN LTD
- Practice address
- 1108 Vester Ave
Springfield, OH 45503 - Phone
- (937) 399-7100
- Fax
- (937) 399-7355
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn S Osterholt, MD
- Title
- President
- Phone
- (937) 399-7100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1108 Vester Ave
Springfield, OH 45503
Mailing address
1108 Vester Ave
Springfield, OH 45503
Phone (937) 399-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2383906 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264636800000",
"number": "1891898276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 VESTER AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-399-7100",
"fax_number": "937-399-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 VESTER AVE",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "45503",
"telephone_number": "937-399-7100",
"fax_number": "937-399-7355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OB GYN LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2010-01-28",
"status": "A",
"authorized_official_last_name": "OSTERHOLT",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-399-7100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2383906",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
- Jordan Noyes, DPT
- Chidoziri C. Nwokoro, DO
- Candyce O'Connor, SLP
- Jennifer O'Donnell
- Danielle Pruzaniec Oakes, PA-C
- Observation Medicine Physicians of Champaign County, LTD
- Occupational Health Centers of Ohio, PA, Co (Concentra Medical Center)
- Courtney L Oda
- Stephen J Oehlers, M.D.
- Brittany Kay Oesch, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.