MARION WOMEN'S HEALTH CENTER INC (NPI# 1770616963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770616963 |
| Entity Type | Organization |
| Organization Name | MARION WOMEN'S HEALTH CENTER INC |
| Practice Address |
960 S Prospect St Marion OH 43302-6225 |
| Practice Telephone | 7403832776 |
| Practice Fax Number | 7403832978 |
| Mailing Telephone | 7403832776 |
| Mailing Fax Number | 7403832978 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2014-05-29 |
| Authorized Official Name | DR. JAYBALAN R MOODLEY (OWNER) |
| Authorized Official Telephone | 7403832776 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0210069 | 05 | |
| OH | 2255198 | 05 |
| Street Address |
960 S PROSPECT ST |
| City | MARION |
| State | OH |
| Zip Code | 43302-6225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720316 | Brenda Lee Gatchel | Nurse Practitioner | 960 S Prospect St, Marion, OH 43302-6225 | 2006-06-18 |
| 1093337875 | Allie Rose Branham | Midwife | 960 S Prospect St, Marion, OH 43302-6225 | 2020-05-14 |
| 1174162291 | Brandi Elizabeth Fields | Advanced Practice Midwife | 960 S Prospect St, Marion, OH 43302-6225 | 2020-01-06 |
| 1346644267 | Tammy Underwood | Advanced Practice Midwife | 960 S Prospect St, Marion, OH 43302-6225 | 2014-10-21 |
| 1609805126 | Jaybalan R. Moodley | Obstetrics & Gynecology | 960 S Prospect St, Marion, OH 43302-6225 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740828367 | Kimberly J Lewis | Specialist | 3832 Cory Corners Rd, Marion, NY 14505-9722 | 2019-12-13 |
| 1861829814 | Michael E Steuer, Md, PC | Specialist | 2860 Interstate 55, Ste 7, Marion, AR 72364-2111 | 2013-10-07 |
| 1922376565 | Shannon Lynn White | Specialist | 2513 W 2nd St, Marion, IN 46952-3241 | 2011-12-11 |
| 1689996332 | Southmountain Children and Family Services | Specialist | 81 W Fort St, Marion, NC 28752 | 2010-02-23 |
| 1376743070 | Mcdowell Orthopaedics & Sports Medicine, P.a. | Specialist | 60 S Medical Ct, Marion, NC 28752-4972 | 2007-07-20 |
| 1376759282 | Normal Life of Indiana | Specialist | 201 N Baldwin Ave, Marion, IN 46952-3533 | 2007-05-15 |
| 1285847459 | Marion Pediatric Clinic | Specialist | 31 E Medical Ct Ste 1, Marion, NC 28752-4969 | 2007-05-07 |
| 1720208762 | Elsie Brown | Specialist | 801 W Boulevard St, Marion, IL 62959-1737 | 2007-05-01 |
| 1174684138 | Marion Surgeons, Inc | Specialist | 1395 N Baldwin Ave, Marion, IN 46952-1913 | 2006-12-13 |
| 1467559153 | Charles William Mc Rae | Specialist | 302 Oliver St, Marion, SC 29571-2338 | 2006-09-17 |
| Find all providers in MARION | ||||
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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.