A Womens Care OB-GYN PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

A WOMENS CARE OB-GYN PC

Practice address

541 W Bacon St
Pottsville, PA 17901-3917

Phone

(570) 628-4200

Fax

(570) 628-4824

NPI assigned

Jan 26, 2006

Last updated

Mar 3, 2015By 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

Ilene Weizer, MDNPI 1093713166

Title

Owner

Phone

(570) 628-4200

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ilene Katz Weizer, MD

  • Obstetrics & Gynecology Physician
  • Pottsville, PA
  • NPI 1093713166
  Authorized official Same address or phone

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1073583415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 W BACON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013917",
            "telephone_number": "570-628-4200",
            "fax_number": "570-628-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 W BACON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013917",
            "telephone_number": "570-628-4200",
            "fax_number": "570-628-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WOMENS CARE OB-GYN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "WEIZER",
        "authorized_official_first_name": "ILENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-628-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007545770005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CK8371",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BS",
            "identifier": "1347147",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Pottsville, PA
• Providers in Pottsville, 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 3, 2015; 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.