# SEVEN HILLS OB-GYN ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1841996782
- **Authorized official:** MICHELLE JARED (DIRECTOR - RCM INTEGRATIONS)
- **Authorized official phone:** (612) 276-2190

## Contact information

- **Practice address:** 10228 DUPONT CIRCLE DR E STE 100, FORT WAYNE, IN 46825-1611
- **Practice address phone:** (260) 222-7401
- **Practice address fax:** (260) 209-5956
- **Mailing address:** PO BOX 772437, DETROIT, MI 48277-2437
- **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 |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 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:** 02/02/2023
- **Last updated:** 02/02/2023
