Active NPI
Premier Women's Care OB/GYN PLLC
- Obstetrics & Gynecology Physician
- Bartow, FL
National Provider Identifier
1235678756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME125157
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjay Mohan Ramchandani, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8023183 | Other | FL | CIGNA |
| H65501 | Other | FL | UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.