Womens Health Center of Macomb Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

036102265 Issued in IL

Legal business name

WOMENS HEALTH CENTER OF MACOMB INC

Practice address

505 E Grant St
Suite 102
Macomb, IL 61455-3352

Phone

(309) 833-5959

Fax

(309) 833-4969

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Troy D Eckman, M.D.

Title

President

Phone

(309) 833-5959

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.

• Robyn R Alley-Hay, M.D.

  • Obstetrics & Gynecology Physician
  • Macomb, IL
  • NPI 1346228111
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1164571139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 393",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614550393",
            "telephone_number": "309-833-2868",
            "fax_number": "309-836-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "SUITE 102",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553352",
            "telephone_number": "309-833-5959",
            "fax_number": "309-833-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH CENTER OF MACOMB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "ECKMAN",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-833-5959",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036102265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "059558",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5530096",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102265",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Leah Wietholder, COTA/L
• Timothy Lee Williams, O.D.
• Tonny Jill Williamson, D.D.S.
• Megan Winters, D.C.
• Taylor Wolf
• Brandon Wright, SSP
• Kara Marie Wright, M.S. CCC-SLP
• Wys Wellness, LLC
• Zhong Ye, M.D.
• Karen J Yee, LCPC

• Obstetrics & Gynecology Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.