Unknown Individual – Obstetrics & Gynecology Physician, NPI 1487621082
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
417, Shannon Drive, Wadsworth, Medina County, Ohio, 44281, United States
WADSWORTH, OH 442814603
Phone: (330) 334-0648
Type: Mailing
1392, High Street, Clark Corners, Wadsworth, Medina County, Ohio, 44281, United States
SUITE 210
WADSWORTH, OH 442818257
Phone: (330) 334-5674
Fax: (330) 334-8412
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44281)
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