Organization Active NPI

Women'S Wellness MD, LLC

  • Obstetrics & Gynecology Physician
  • Ellicott City, MD
National Provider Identifier
1164786786
Registry record updated Jun 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S WELLNESS MD, LLC
Practice address
9501 Old Annapolis Rd
Suite 305
Ellicott City, MD 21042-6314
Phone
(800) 937-4616
NPI assigned
Jun 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2012

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

Authorized official

Name
Chetanna I Okasi, M.D.NPI 1356484083
Title
Owner
Phone
(800) 937-4616

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

9501 Old Annapolis Rd
Suite 305
Ellicott City, MD 21042-6314

Mailing address

9501 Old Annapolis Rd
Suite 305
Ellicott City, MD 21042-6314
Phone (800) 937-4616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120905000022 MD Part B Supplier - Clinic/Group Practice 2365699949 Receives reassigned benefits from 3 practitioners
Practice locations: Columbia, MD

National Provider Directory

National Provider Directory

Locations

9501 Old Annapolis Rd
Ste 305
Ellicott City, MD 21042
Phone (443) 380-0060

Practitioners & affiliated clinicians

Practitioners 3

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": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1164786786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD",
            "address_2": "SUITE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426314",
            "telephone_number": "800-937-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 OLD ANNAPOLIS RD",
            "address_2": "SUITE 305",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210426314",
            "telephone_number": "800-937-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S WELLNESS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "OKASI",
        "authorized_official_first_name": "CHETANNA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-937-4616",
        "authorized_official_credential": "M.D."
    },
    "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 Ellicott City, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.