Provider Demographics
| NPI: | 1609856525 |
|---|---|
| Name: | SEVEN HILLS OB-GYN ASSOCIATES LLC |
| Entity type: | Organization |
| Organization Name: | SEVEN HILLS OB-GYN ASSOCIATES LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | REVENUE CYCLE DIRECTOR |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | MICHELLE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | JARED |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 763-276-2190 |
| Mailing Address - Street 1: | PO BOX 772437 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | DETROIT |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48277-2437 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 317-575-7304 |
| Mailing Address - Fax: | 317-575-7333 |
| Practice Address - Street 1: | 2060 READING RD STE 150 |
| Practice Address - Street 2: | |
| Practice Address - City: | CINCINNATI |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 45202-1488 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 513-721-3200 |
| Practice Address - Fax: | 513-639-3186 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-01-18 |
| Last Update Date: | 2024-10-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Multi-Specialty | |
| No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
| No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
| No | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty | |
| No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | Group - Multi-Specialty |
| No | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology | Vascular & Interventional Radiology | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | Group - Multi-Specialty |
| No | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health | Group - Multi-Specialty |
| No | 363LX0001X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology | Group - Multi-Specialty |
| No | 364S00000X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Group - Multi-Specialty | |
| No | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IN | 0472765 | Medicaid | |
| OH | 7100825150 | Medicaid | |
| KY | 7100825150 | Medicaid | |
| OH | 2066071 | Medicaid | |
| KY | 7100791390 | Medicaid | |
| KY | 7100661550 | Medicaid | |
| KY | 7100737810 | Medicaid | |
| OH | SE9295778 | Medicare PIN | |
| OH | SE9295651 | Medicare PIN | |
| OH | 9295658 | Medicare UPIN | |
| OH | SE9295658 | Medicare PIN | |
| OH | SE9341423 | Medicare PIN | |
| OH | SE9295652 | Medicare PIN | |
| OH | 2066071 | Medicaid | |
| KY | 7100222730 | Medicaid | |
| OH | SE9295772 | Medicare PIN | |
| OH | SE9341424 | Medicare PIN | |
| IN | 201173900 | Medicaid | |
| OH | SE9295654 | Medicare PIN | |
| OH | SE9295653 | Medicare PIN | |
| OH | SE9295657 | Medicare PIN |
