Active NPI
N Shah Thaker, MD Inc.
- Obstetrics & Gynecology Physician
- Bedford, OH
National Provider Identifier
1992851802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35041778
- Legal business name
- N SHAH THAKER, MD INC.
- Practice address
- 88 Center Rd
250
Bedford, OH 44146-2700 - Phone
- (440) 439-9797
- Fax
- (440) 439-9775
- NPI assigned
- Jan 25, 2007
- 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
- Niranjana Shah Thaker, M.D.
- Title
- Owner
- Phone
- (440) 439-9797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35041778 | OH | Primary |
Addresses
Primary practice location
88 Center Rd
250
Bedford, OH 44146-2700
Mailing address
88 Center Rd
250
Bedford, OH 44146-2700
Phone (440) 439-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2744187 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
88 Center Rd
#250
Bedford, OH 44146
Phone (440) 232-6800
44 Blaine Ave
Cleveland, OH 44146
Phone (330) 528-3593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402358400000",
"number": "1992851802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 CENTER RD",
"address_2": "250",
"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": "250",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462700",
"telephone_number": "440-439-9797",
"fax_number": "440-439-9775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "N SHAH THAKER, MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2014-06-10",
"status": "A",
"authorized_official_last_name": "THAKER",
"authorized_official_first_name": "NIRANJANA",
"authorized_official_middle_name": "SHAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-439-9797",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35041778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2744187",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.