Organization Active NPI

Montgomery Women's Primary Care Center, LLC

  • Obstetrics & Gynecology Physician
  • Montgomery, AL
National Provider Identifier
1295061059
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7451 Issued in AL
Legal business name
MONTGOMERY WOMEN'S PRIMARY CARE CENTER, LLC
Practice address
8134 Seaton PL
Montgomery, AL 36116-7204
Phone
(334) 356-4873
NPI assigned
Oct 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Dr. Roosevelt McCorvey, M.D.
Title
Physician Owner
Phone
(334) 356-4873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 7451 AL Primary

Addresses

Primary practice location

8134 Seaton PL
Montgomery, AL 36116-7204

Mailing address

8134 Seaton PL
Montgomery, AL 36116-7204
Phone (334) 356-4873

National Provider Directory

National Provider Directory

Locations

8134 Seaton Pl
Montgomery, AL 36116
Phone (334) 213-2443

Practitioners & affiliated clinicians

Practitioners 1

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": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1295061059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-356-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134 SEATON PL",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361167204",
            "telephone_number": "334-356-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY WOMEN'S PRIMARY CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "MCCORVEY",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "334-356-4873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "7451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.