# SEVEN HILLS OB-GYN ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710621776
- **Authorized official:** JOHN J FERNANDEZ (VP RCM)
- **Authorized official phone:** (516) 972-1568

## Contact information

- **Practice address:** 10307 DUPONT CIRCLE DR W STE A, FORT WAYNE, IN 46825-1633
- **Practice address phone:** (260) 458-3440
- **Practice address fax:** (260) 458-3441
- **Mailing address:** 11595 N MERIDIAN ST STE 375, CARMEL, IN 46032-3950
- **Mailing address phone:** (317) 575-7304
- **Mailing address fax:** (317) 575-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 04/26/2022
- **Last updated:** 09/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 300062477 | — | IN |