Organization Active NPI

Premier Women's Care OB/GYN PLLC

  • Obstetrics & Gynecology Physician
  • Bartow, FL
National Provider Identifier
1235678756
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME125157 Issued in FL
Legal business name
PREMIER WOMEN'S CARE OB/GYN PLLC
Practice address
2250 Osprey Blvd
Suite 104
Bartow, FL 33830-4340
Phone
(888) 488-2702
Fax
(888) 235-9876
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

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

Authorized official

Name
Dr. Sanjay Mohan Ramchandani, MDNPI 1225009640
Title
Managing Director
Phone
(888) 488-2702

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: 193200000X MULTI-SPECIALTY GROUP 207V00000X ME125157 FL Primary

Addresses

Primary practice location

2250 Osprey Blvd
Suite 104
Bartow, FL 33830-4340

Mailing address

2250 Osprey Blvd
Suite 104
Bartow, FL 33830-4340
Phone (888) 488-2702

Other identifiers 2

IdentifierTypeStateIssuer
8023183OtherFLCIGNA
H65501OtherFLUPIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170417000637 FL Part B Supplier - Clinic/Group Practice 0547546178 Receives reassigned benefits from 1 practitioner
Practice locations: Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

950 1st St S
Ste 201
Winter Haven, FL 33880
Phone (863) 537-6570

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": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1235678756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 OSPREY BLVD",
            "address_2": "SUITE 104",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304340",
            "telephone_number": "888-488-2702",
            "fax_number": "888-235-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 OSPREY BLVD",
            "address_2": "SUITE 104",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338304340",
            "telephone_number": "888-488-2702",
            "fax_number": "888-235-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMEN'S CARE OB/GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "RAMCHANDANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "MOHAN",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "888-488-2702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME125157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8023183",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H65501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartow, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.