Provider Demographics
NPI:1225216252
Name:BOYE-DOE WOMENS HEALTH CENTER INC
Entity Type:Organization
Organization Name:BOYE-DOE WOMENS HEALTH CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-960-0681
Mailing Address - Street 1:5040 OBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-3432
Mailing Address - Country:US
Mailing Address - Phone:440-960-0644
Mailing Address - Fax:440-960-0336
Practice Address - Street 1:5040 OBERLIN AVE
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-3432
Practice Address - Country:US
Practice Address - Phone:440-960-0644
Practice Address - Fax:440-960-0336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-044406207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9306961Medicare PIN