Active NPI
Niranjana Shah Thaker, MD
- Obstetrics & Gynecology Physician
- Bedford, OH
National Provider Identifier
1992785455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35041778
- Practice address
- 88 Center Rd
Suite 250B
Bedford, OH 44146-2700 - Phone
- (440) 439-9797
- Fax
- (440) 439-9775
- NPI assigned
- Jan 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35041778 | OH | Primary |
Addresses
Primary practice location
88 Center Rd
Suite 250B
Bedford, OH 44146-2700
Mailing address
88 Center Rd
Suite 250B
Bedford, OH 44146-2700
Phone (440) 439-9797
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000121950 | Other | OH | UNICARE |
| R41778 | Other | OH | SUMMACARE |
| 000000121950 | Other | OH | ANTHEM BLUE SHIELD |
| 353365 | Other | OH | WEWLLCARE OF OHIO INC |
| 0365993 | Medicaid | OH |
Other names 1
- Nina Thaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35041778 | OH | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210982400000",
"number": "1992785455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CENTER RD",
"address_2": "SUITE 250B",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462700",
"telephone_number": "440-439-9797",
"fax_number": "440-439-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 CENTER RD",
"address_2": "SUITE 250B",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462700",
"telephone_number": "440-439-9797",
"fax_number": "440-439-9775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAKER",
"first_name": "NIRANJANA",
"middle_name": "SHAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2008-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35041778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "000000121950",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "R41778",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "000000121950",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEWLLCARE OF OHIO INC",
"identifier": "353365",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0365993",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NINA",
"last_name": "THAKER",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bedford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.