Wise Women Care Associates

Primary specialty

MidwifeTaxonomy code 176B00000X

License

LDM10119128 Issued in OR

Legal business name

WISE WOMEN CARE ASSOCIATES

Practice address

400 Crater Lake Ave
Medford, OR 97504-6808

Phone

(541) 772-2291

Fax

(541) 245-0417

NPI assigned

Apr 4, 2012

Last updated

Apr 4, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Augustine Colebrook, CPM, LDM

Title

Owner/Director/Midwife

Phone

(541) 772-2291

Specialties & licenses 2

Addresses

Tax ID family

Wise Women Care Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Wise Women Care Associates

  • Lay Midwife
  • Medford, OR
  • NPI 1659629137
  NPD tax ID
• Wise Women Care Associates, LLC

  • Midwife
  • Medford, OR
  • NPI 1407124936
  NPD tax ID

Locations

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1285990267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046808",
            "telephone_number": "541-772-2291",
            "fax_number": "541-245-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046808",
            "telephone_number": "541-772-2291",
            "fax_number": "541-245-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE WOMEN CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "COLEBROOK",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR/MIDWIFE",
        "authorized_official_telephone_number": "541-772-2291",
        "authorized_official_credential": "CPM, LDM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "OR",
            "license": "LDM10119128",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200750100NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory F Winters, MD
• Laura Ruth Winters, MNS, RD
• Cara A. Wirt, LMT
• Lillian Wisark
• Wise Caring PC
• Wise Women Care Associates
• Wise Women Care Associates, LLC
• Michelle Sizzan Wise
• Natalye Wise, LPC
• Thomas Wise, PHARMD

• Midwife in Medford, OR
• Providers in Medford, OR by specialty
• Midwife in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.