National Women's Health Organization of Fort Wayne

Primary specialty

SpecialistTaxonomy code 174400000X

License

060111354 Issued in IN

Legal business name

NATIONAL WOMEN'S HEALTH ORGANIZATION OF FORT WAYNE

Doing business as

Fort Wayne Women's Health Organization

Practice address

2210 Inwood Dr
Fort Wayne, IN 46815-7117

Phone

(260) 471-5005

NPI assigned

Feb 16, 2007

Last updated

Jun 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rosa C Tiley

Title

Insurance Coordinator

Phone

(919) 783-0444

Specialties & licenses 1

Addresses

Other names 1

• Fort Wayne Women's Health Organization Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1053455790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157117",
            "telephone_number": "260-471-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 INWOOD DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468157117",
            "telephone_number": "260-471-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL WOMEN'S HEALTH ORGANIZATION OF FORT WAYNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "TILEY",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "919-783-0444",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "060111354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Wayne Women's Health Organization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.