Provider Demographics
NPI:1558408963
Name:NORTHCOAST WOMENS HEALTH, INC.
Entity Type:Organization
Organization Name:NORTHCOAST WOMENS HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:MIKOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-529-8446
Mailing Address - Street 1:PO BOX 450708
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0614
Mailing Address - Country:US
Mailing Address - Phone:440-808-3700
Mailing Address - Fax:440-808-3675
Practice Address - Street 1:1450 BELLE AVE
Practice Address - Street 2:300
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-4202
Practice Address - Country:US
Practice Address - Phone:216-529-8446
Practice Address - Fax:216-529-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051399M207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0917904Medicaid
OH0917904Medicaid
OHE76721Medicare UPIN