ELYRIA OBSTETRICS & GYNECOLOGY INC (NPI# 1477748325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477748325 |
Entity Type | Organization |
Organization Name | ELYRIA OBSTETRICS & GYNECOLOGY INC |
Practice Address |
125 E Broad St Suite 302 Elyria OH 44035-6400 |
Mailing Address |
Po Box 1966 Elyria OH 44036-1966 |
Practice Telephone | 4403297330 |
Mailing Telephone | 4403297330 |
Enumeration Date | 2007-09-12 |
Last Update Date | 2008-04-20 |
Authorized Official Name | DR. KEVIN E WISLER (CEO) |
Authorized Official Telephone | 4403297330 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0632186 | 05 |
Street Address |
125 E BROAD ST SUITE 302 |
City | ELYRIA |
State | OH |
Zip Code | 44035-6400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265436729 | Keith Warner | Surgery | 125 E Broad St, Ste 219, Elyria, OH 44035-6447 | 2005-06-11 |
1215200811 | Govind K Mehta, M.d., Inc. | Otolaryngology | 125 E Broad St, Suite 322, Elyria, OH 44035-6400 | 2012-02-14 |
1275812497 | Prakash Chand | Internal Medicine | 125 E Broad St, Suite 122, Elyria, OH 44035-6400 | 2011-08-04 |
1639498751 | North Ohio Heart Inc | Family Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2010-05-28 |
1962737783 | Elyria Internal Medicine, Inc | Internal Medicine | 125 E Broad St, Ste 202, Elyria, OH 44035-6400 | 2009-10-13 |
1639384985 | Joanna Kristine Brown | Surgery | 125 E Broad St, Suite 219, Elyria, OH 44035-6400 | 2007-05-11 |
1245450881 | Mehdi H Shishehbor | Internal Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2007-04-26 |
1679615249 | Comprehensive Ventures Unlimited Inc | Pharmacy | 125 E Broad St, Suite 109, Elyria, OH 44035-6400 | 2007-02-12 |
1891841086 | S D Roy Md Inc | Internal Medicine | 125 E Broad St, Suite #122, Elyria, OH 44035-6400 | 2007-01-28 |
1831270826 | Kara J Quan | Internal Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2006-10-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
Find all providers in zip 44035 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922069582 | Meir Benit | Obstetrics & Gynecology | 661 E River St, Suite A, Elyria, OH 44035-5901 | 2006-03-31 |
1962489401 | Kevin E Wisler | Obstetrics & Gynecology | 125 E Broad St, Suite 302, Elyria, OH 44035-6400 | 2005-12-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245897578 | Diane Cheryl Brown | Obstetrics & Gynecology | 1100 S Sunbury Rd, Westerville, OH 43081-9347 | 2019-05-22 |
1588125942 | Kelsey C Kennedy | Obstetrics & Gynecology | A Building 2049 E 100th St, Cleveland, OH 44195-0001 | 2019-03-28 |
1114408119 | Manohar Lal | Obstetrics & Gynecology | 1101 Kingswood Dr, Akron, OH 44313-5922 | 2018-08-27 |
1285015982 | Obstetrics and Gynecological Associates of Akron Inc | Obstetrics & Gynecology | 605 N Cleveland Massillon Rd Ste A, Akron, OH 44333-2200 | 2015-06-18 |
1053758631 | Licking Memorial Professional Corporation | Obstetrics & Gynecology | 270 Goosepond Road, Ste 102, Newark, OH 43055 | 2013-05-23 |
1437420668 | Urmil Arora | Obstetrics & Gynecology | 776 Woodmere Dr., Wooster, OH 44691 | 2012-01-19 |
1942579677 | Stanley Post | Obstetrics & Gynecology | 26371 Shaker Blvd, Cleveland, OH 44122-7113 | 2011-12-27 |
1093002586 | Joseph Franzese | Obstetrics & Gynecology | 4631 Ridge Ave Ste A, Cincinnati, OH 45209 | 2011-07-05 |
1265751366 | University Hospitals Medical Group, Inc. | Obstetrics & Gynecology | 2061 Cornell Rd, Cleveland, OH 44106-3808 | 2010-05-28 |
1073842910 | George Walter Loesch | Obstetrics & Gynecology | 625 Russell Road, Mansfield, OH 44903-1930 | 2009-12-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.