Organization Active NPI

Women'S Health Care Specialists of Decatur, LLC

  • Obstetrics & Gynecology Physician
  • Decatur, IL
National Provider Identifier
1124327598
Registry record updated Mar 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S HEALTH CARE SPECIALISTS OF DECATUR, LLC
Practice address
1 Memorial Dr
Physicians Plaza East, Suite 216
Decatur, IL 62526-6303
Phone
(217) 875-5574
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2011

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

Authorized official

Name
Dr. Gretchen Lien Byrkit, MDNPI 1104800044
Title
President
Phone
(217) 875-5574

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1 Memorial Dr
Physicians Plaza East, Suite 216
Decatur, IL 62526-6303

Mailing address

1 Memorial Dr
Physicians Plaza East, Suite 216
Decatur, IL 62526-6303
Phone (217) 875-5574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000069 IL Part B Supplier - Clinic/Group Practice 3577740406 Receives reassigned benefits from 2 practitioners
Practice locations: Decatur, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1124327598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "address_2": "PHYSICIANS PLAZA EAST, SUITE 216",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266303",
            "telephone_number": "217-875-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEMORIAL DR",
            "address_2": "PHYSICIANS PLAZA EAST, SUITE 216",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266303",
            "telephone_number": "217-875-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH CARE SPECIALISTS OF DECATUR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "BYRKIT",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "LIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-875-5574",
        "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": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.