Provider Demographics
NPI:1477563989
Name:INSTITUTE FOR WOMENS AND CHILDRENS HEALTH, INC.
Entity Type:Organization
Organization Name:INSTITUTE FOR WOMENS AND CHILDRENS HEALTH, INC.
Other - Org Name:CLEVELAND HEALTH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LOUIS
Authorized Official - Last Name:TAXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-442-0500
Mailing Address - Street 1:29001 CEDAR RD STE 500
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-6501
Mailing Address - Country:US
Mailing Address - Phone:440-442-0500
Mailing Address - Fax:440-442-0501
Practice Address - Street 1:29001 CEDAR RD STE 500
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-6501
Practice Address - Country:US
Practice Address - Phone:440-442-0500
Practice Address - Fax:440-442-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35054200207VG0400X
OH350506272080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric GastroenterologyGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2125739Medicaid
OH2125739Medicaid