Healthcare Provider Details

I. General information

NPI: 1124103601
Provider Name (Legal Business Name): OXFORD OB/GYN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N POPLAR ST THIRD FLOOR
OXFORD OH
45056-1204
US

IV. Provider business mailing address

5225 MORNING SUN RD SUITE A
OXFORD OH
45056-8929
US

V. Phone/Fax

Practice location:
  • Phone: 513-523-1177
  • Fax: 513-523-4490
Mailing address:
  • Phone: 513-523-2158
  • Fax: 513-523-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN T HARLAN
Title or Position: OWNER
Credential: M.D.
Phone: 513-523-2158