Active NPI
OBGYN of Westlake, LLC
- Obstetrics & Gynecology Physician
- Westlake, OH
National Provider Identifier
1972905867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2313468
- 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, 2020
- 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
- Rima Bachuwa
- Title
- President
- Phone
- (440) 871-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2313468 | Other | OH | BUSINESS LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.