MARIETTA GYNECOLOGIC ASSOCIATES INC (NPI# 1265502520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265502520 |
Entity Type | Organization |
Organization Name | MARIETTA GYNECOLOGIC ASSOCIATES INC |
Other Organization Name | MGA LAB |
Practice Address |
410 2nd St Marietta OH 45750-2115 |
Practice Telephone | 7403743622 |
Practice Fax Number | 7403744209 |
Mailing Telephone | 7403743622 |
Mailing Fax Number | 7403744209 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2008-01-22 |
Authorized Official Name | MS. KAREN E LINES (PRACTICE ADMINISTRATOR) |
Authorized Official Telephone | 7403743622 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | OH | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 0006831001 | 05 | |
OH | 2487205 | 05 |
Other Name | Type Code |
---|---|
MGA Lab | Other Name - Individual/Organization |
Street Address |
410 2ND ST |
City | MARIETTA |
State | OH |
Zip Code | 45750-2115 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023011673 | Todd Richard Myers | Family Medicine | 410 2nd St, Marietta, OH 45750-2115 | 2005-05-27 |
1790190890 | Brad D Nitzsche | Obstetrics & Gynecology | 410 2nd St, Marietta, OH 45750-2115 | 2014-06-26 |
1518300391 | Megan Leigh Smith | Obstetrics & Gynecology | 410 2nd St, Marietta, OH 45750-2115 | 2013-04-11 |
1841528791 | Denay Michele May | Advanced Practice Midwife | 410 2nd St, Marietta, OH 45750-2115 | 2009-12-03 |
1083765663 | Jamie Renee' Myers Mccombs | Physician Assistant | 410 2nd St, Marietta, OH 45750-2115 | 2007-01-12 |
1720165202 | Marietta Gynecologic Associates, Inc. | Obstetrics & Gynecology | 410 2nd St, Marietta, OH 45750-2115 | 2006-11-01 |
1609867886 | Rebecca Jean Eaton | Nurse Practitioner | 410 2nd St, Marietta, OH 45750-2115 | 2005-11-04 |
1083612063 | Maria Paula Galupo | Obstetrics & Gynecology | 410 2nd St, Marietta, OH 45750-2115 | 2005-07-13 |
1740288687 | Warren L Cooper | Obstetrics & Gynecology | 410 2nd St, Marietta, OH 45750-2115 | 2005-07-13 |
1568460442 | Amy W Biehl | Physician Assistant | 410 2nd St, Marietta, OH 45750-2115 | 2005-07-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
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Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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1134217342 | North Georgia Dermatopathology PC | Clinical Medical Laboratory | 945 Church Street Ext Ne Ste B, Marietta, GA 30060-7293 | 2006-10-11 |
1760428247 | Ocmulgee Medical Pathology Association Inc | Clinical Medical Laboratory | 2275 Northwest Pkwy Se, Suite 140, Marietta, GA 30067-9321 | 2006-06-21 |
1245725068 | American Health Associates Inc | Clinical Medical Laboratory | 2130 Northwest Pkwy Se, Marietta, GA 30067-9307 | 2018-06-25 |
1679934954 | Alpha Lab Services, LLC | Clinical Medical Laboratory | 1290 Kennestone Cir, Suite A-112, Marietta, GA 30066-6009 | 2016-03-14 |
1083044465 | Dermatopathology Lab of Skin Cancer Specialists, P.C. | Clinical Medical Laboratory | 175 White Street, Suite 370, Marietta, GA 30060-1054 | 2013-11-20 |
1114363207 | Ldc Dermatopathology, LLC | Clinical Medical Laboratory | 4343 Shallowford Rd, Suite B3b, Marietta, GA 30062-5023 | 2013-05-15 |
1164730941 | Kaiser Permanente | Clinical Medical Laboratory | 2505 Dallas Hwy Sw, Marietta, GA 30064-2659 | 2010-09-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.