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NPI Code Detail

MEDICARE: WOMENS HEALTH GROUP INC.

MEDICARE: WOMENS HEALTH GROUP 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
1207V00000XObstetrics & Gynecology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942248661
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMENS HEALTH GROUP INC.
Provider Business Mailing Address
First Line : 121 NORTHWEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-1809
Country : US
Telephone Number : 330-633-1352
Fax Number : 330-633-6068
Provider Business Practice Location Address
First Line : 121 NORTHWEST AVE
Second Line :
City : TALLMADGE
State : OH
Zip : 44278-1809
Country : US
Telephone Number : 330-633-1352
Fax Number : 330-633-6068
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN NELSON HUTZLER
Credential : M.D.
Telephone Number : 330-633-1352
Provider Enumeration Date : 06/03/2006
Last Update Date : 10/26/2007

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Practice Location Address:
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1265473326 — STEVEN MATTHEW GORSUCH M.D.
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1457393480 — DR. JOHN NELSON HUTZLER JR. M.D.
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121 NORTHWEST AVE
TALLMADGE, OH
44278-1809
Practice Phone: 330-633-1352
Practice Fax: 330-633-6068
1336182526 — DR. AHMAD KHALED JADALLAH M.D.
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121 NORTHWEST AVE
TALLMADGE, OH
44278-1809
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Practice Fax: 330-633-6068
1255545331 — DR. NISRINE ZAHIR M.D.
Practice Location Address:
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TALLMADGE, OH
44278-1809
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1780864140 — PHILIP JOHN SMELCER M.D.
Practice Location Address:
121 NORTHWEST AVE
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44278-1809
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Practice Fax:

Directions to “WOMENS HEALTH GROUP INC. ” Practice Location

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