Organization Active NPI

Women & Children's Clinic

  • Pediatrics Physician
  • Terre Haute, IN
National Provider Identifier
1083797039
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01032364A Issued in IN
Legal business name
WOMEN & CHILDREN'S CLINIC
Practice address
3464 S 4TH St
Terre Haute, IN 47802-4168
Phone
(812) 234-8117
Fax
(812) 234-1894
NPI assigned
Oct 23, 2006
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Mrs. Lita F. Sison
Title
Office Manager
Phone
(812) 234-8117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01032364A IN Primary

Addresses

Primary practice location

3464 S 4TH St
Terre Haute, IN 47802-4168

Mailing address

3464 S 4TH St
Terre Haute, IN 47802-4168
Phone (812) 234-8117

Other identifiers 1

IdentifierTypeStateIssuer
100251730MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Women and Children's Clinic PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3464 S 4th St
Terre Haute, IN 47802
Phone (812) 233-8882

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1083797039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024168",
            "telephone_number": "812-234-8117",
            "fax_number": "812-234-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 S 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024168",
            "telephone_number": "812-234-8117",
            "fax_number": "812-234-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN & CHILDREN'S CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "LITA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "812-234-8117",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01032364A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100251730",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.