Active NPI
Womens Medical Center, PC
- Obstetrics & Gynecology Physician
- Mt Pleasant, MI
National Provider Identifier
1134158249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMENS MEDICAL CENTER, PC
- Practice address
- 1201 South Dr
Suite 220
Mt Pleasant, MI 48858-3256 - Phone
- (989) 773-3411
- Fax
- (989) 775-3187
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Owen Podolsky, M.D.
- Title
- President
- Phone
- (989) 773-3411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1201 South Dr
Suite 220
Mt Pleasant, MI 48858-3256
Mailing address
1201 South Dr
Suite 220
Mt Pleasant, MI 48858-3256
Phone (989) 773-3411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160C71016 | Other | MI | BCBS GROUP # |
National Provider Directory
National Provider DirectoryLocations
1201 South Dr
Ste 220
Mt Pleasant, MI 48858
Phone (989) 773-3411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1134158249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SOUTH DR",
"address_2": "SUITE 220",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488583256",
"telephone_number": "989-773-3411",
"fax_number": "989-775-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SOUTH DR",
"address_2": "SUITE 220",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488583256",
"telephone_number": "989-773-3411",
"fax_number": "989-775-3187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS MEDICAL CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PODOLSKY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "OWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "989-773-3411",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "160C71016",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.