Olympic Urogynecology, Llc
LBN: Olympic Urogynecology, Llc
Olympic Urogynecology, Llc is an health care organization with primary practice located at 3009 Smith Rd Ste 400 , Fairlawn OH 44333-2670. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery is the primary health care specialty.
Olympic Urogynecology, Llc can be contacted via phone (330) 953-3414, or through Apostolis, Costas A via phone (330) 953-3414.
Contact Information
Primary practice address
3009 Smith Rd Ste 400
Fairlawn OH 44333-2670
Phone: (330) 953-3414
Fax: (877) 753-3179
Website:
Authorized official contact:
Name: Apostolis, Costas A Doctor of Medicine (MD)
Phone: (330) 953-3414
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | 35099119 | Ohio |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X |
Profile Details
| NPI number | 1043751357 |
|---|---|
| LBN Legal business name | Olympic Urogynecology, Llc |
| DBA Doing business as | |
| Authorized official | Apostolis, Costas A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 20th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043751357 | NPPES |
| Ohio | MEDICAID | 0228002 |
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