Organization Active NPI

Women's Center of the Peninsula

  • Obstetrics & Gynecology Physician
  • Soldotna, AK
National Provider Identifier
1144663337
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7311 Issued in AK
Legal business name
WOMEN'S CENTER OF THE PENINSULA
Practice address
254 N Binkley St
Soldotna, AK 99669-7522
Phone
(907) 260-2622
Fax
(907) 260-2606
NPI assigned
Apr 8, 2013
Last updated
Apr 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Authorized official

Name
Jo Lynn Hawthorne, MD
Title
President/Owner
Phone
(907) 260-2622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7311 AK Primary

Addresses

Primary practice location

254 N Binkley St
Soldotna, AK 99669-7522

Mailing address

254 N Binkley St
Soldotna, AK 99669-7522
Phone (907) 260-2622

Other identifiers 1

IdentifierTypeStateIssuer
1583326MedicaidAK

Other names 1

  • 3 D Enterprises DBA Womens Center of the Peninsula Former legal business name

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9513/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1144663337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697522",
            "telephone_number": "907-260-2622",
            "fax_number": "907-260-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 N BINKLEY ST",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697522",
            "telephone_number": "907-260-2622",
            "fax_number": "907-260-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CENTER OF THE PENINSULA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "907-260-2622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AK",
            "license": "7311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1583326",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 D Enterprises DBA Womens Center of the Peninsula",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Soldotna, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.