MEDICARE: INSTITUTE FOR WOMENS AND CHILDRENS HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	35054200	OH
2	2080P0206X	Pediatric Gastroenterology Physician	35050627	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477563989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSTITUTE FOR WOMENS AND CHILDRENS HEALTH, INC.

Provider Business Mailing Address
First Line	:	29001 CEDAR RD STE 500
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-6501
Country	:	US
Telephone Number	:	440-442-0500
Fax Number	:	440-442-0501

Provider Business Practice Location Address
First Line	:	29001 CEDAR RD STE 500
Second Line	:
City	:	LYNDHURST
State	:	OH
Zip	:	44124-6501
Country	:	US
Telephone Number	:	440-442-0500
Fax Number	:	440-442-0501

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS LOUIS TAXMAN
Credential	:	MD
Telephone Number	:	440-442-0500

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	02/10/2021

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Practice Location Address:

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