Organization Active NPI

OBGYN of Westlake, LLC

  • Obstetrics & Gynecology Physician
  • Westlake, OH
National Provider Identifier
1972905867
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2313468 Issued in OH
Legal business name
OBGYN OF WESTLAKE, LLC
Practice address
2211 Crocker Rd Ste 130
Westlake, OH 44145-7603
Phone
(440) 871-2222
Fax
(440) 249-4111
NPI assigned
Sep 23, 2014
Last updated
Feb 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Rima Bachuwa
Title
President
Phone
(440) 871-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2313468 OH Primary

Addresses

Primary practice location

2211 Crocker Rd Ste 130
Westlake, OH 44145-7603

Mailing address

30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325
Phone (440) 274-5000

Other identifiers 1

IdentifierTypeStateIssuer
2313468OtherOHBUSINESS LICENSE

National Provider Directory

National Provider Directory

Locations

2211 Crocker Rd
Ste 130
Westlake, OH 44145
Phone (440) 617-9473

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1972905867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 LORAIN RD STE A",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440706325",
            "telephone_number": "440-274-5000",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CROCKER RD STE 130",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441457603",
            "telephone_number": "440-871-2222",
            "fax_number": "440-249-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBGYN OF WESTLAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "BACHUWA",
        "authorized_official_first_name": "RIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-871-2222"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "2313468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "2313468",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.