NPIMap

Organization Active NPI

Womens Health of North Central Florida, PLLC

  • Gynecology Physician
  • Starke, FL
National Provider Identifier
1255638805
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS11095 Issued in FL
Legal business name
WOMENS HEALTH OF NORTH CENTRAL FLORIDA, PLLC
Practice address
1546 South Water St
Starke, FL 32091-4511
Phone
(904) 964-4777
Fax
(904) 964-4778
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Dr. Robert L. Halterman, D.O.
Title
Owner
Phone
(904) 964-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X OS11095 FL Primary

Addresses

Primary practice location

1546 South Water St
Starke, FL 32091-4511

Mailing address

1546 South Water St
Starke, FL 32091-4511
Phone (904) 964-4777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1255638805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 SOUTH WATER ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914511",
            "telephone_number": "904-964-4777",
            "fax_number": "904-964-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 SOUTH WATER ST",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320914511",
            "telephone_number": "904-964-4777",
            "fax_number": "904-964-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH OF NORTH CENTRAL FLORIDA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "HALTERMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-964-4777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "OS11095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starke, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.