Center for Womens Health PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CENTER FOR WOMENS HEALTH PLLC

Practice address

212 Northcrest Dr
Springfield, TN 37172-3962

Phone

(615) 384-4496

Fax

(615) 384-5510

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Randall E Jack, MD

Title

Owner

Phone

(615) 384-4496

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1053538124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723962",
            "telephone_number": "615-384-4496",
            "fax_number": "615-384-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTHCREST DR",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723962",
            "telephone_number": "615-384-4496",
            "fax_number": "615-384-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WOMENS HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-384-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabatha Rachelle Carr, B.S.
• Shayla Dawnyal Carter, OTR
• Amy Michelle Caruthers
• Carla Jean Carver, PHARMD
• Maycie Cawthon (Employee Id: 421135 Cawthon
• Stephanie Marie Center, OTR/L
• Cep America LLC
• Ramesh Chadalavada, MD
• Chasati Keiunna Chambers
• Chasiti C.S. Chandler, DPT

• Obstetrics & Gynecology Physician in Springfield, TN
• Providers in Springfield, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.