Women'S Wellness Center, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

OS003900L Issued in PA

Legal business name

WOMEN'S WELLNESS CENTER, P.C.

Practice address

743 Jefferson Ave
Suite 206
Scranton, PA 18510-1635

Phone

(570) 341-9818

Fax

(570) 341-9950

NPI assigned

Apr 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. J Michael Tedesco, D.O.

Title

President

Phone

(570) 341-9818

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1073570859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 206",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101635",
            "telephone_number": "570-341-9818",
            "fax_number": "570-341-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE",
            "address_2": "SUITE 206",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101635",
            "telephone_number": "570-341-9818",
            "fax_number": "570-341-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TEDESCO",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-341-9818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS003900L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OS0039OOL",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon A Wittenbreder, CRNP
• Matthew Joseph Wojciechowski
• Katie Nicole Wolfgang, PA-C
• Michael D. Wolk, M.D.
• Women'S Resource Center, Inc.
• Darren Wong, MD
• Richard Wong
• Jessica Wood, CRNP
• William Anthony Wood, M.D.
• Tyler C Woodruff, PA-C

• Obstetrics & Gynecology Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.