Organization Active NPI

N Shah Thaker, MD Inc.

  • Obstetrics & Gynecology Physician
  • Bedford, OH
National Provider Identifier
1992851802
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35041778 Issued in OH
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

Updated by the provider on Jun 10, 2014

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2744187MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.