Provider Demographics
NPI:1750483558
Name:MEDINA OB/GYN ASSOCIATES, INC.
Entity type:Organization
Organization Name:MEDINA OB/GYN ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:GAICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-723-6060
Mailing Address - Street 1:970 E WASHINGTON ST
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-3332
Mailing Address - Country:US
Mailing Address - Phone:330-723-6060
Mailing Address - Fax:330-723-6462
Practice Address - Street 1:970 E WASHINGTON ST
Practice Address - Street 2:SUITE 6B
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-3332
Practice Address - Country:US
Practice Address - Phone:330-723-6060
Practice Address - Fax:330-723-6462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35071192207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty