Active NPI
Just for Women Gynecology , PA
- Gynecology Physician
- Springvale, ME
National Provider Identifier
1295163004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD11910
- Legal business name
- JUST FOR WOMEN GYNECOLOGY , PA
- Practice address
- 462 Main St Ste 1
Springvale
Springvale, ME 04083-1818 - Phone
- (207) 206-7270
- NPI assigned
- Oct 15, 2013
- 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
- Kathleen Claire Morris, MD
- Title
- Physician
- Phone
- (207) 206-7270
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD11910 | ME | Primary |
| Gynecology Physician | 207VG0400X | MD012728 | ME |
Addresses
Primary practice location
462 Main St Ste 1
Springvale
Springvale, ME 04083-1818
Mailing address
462 Main St Ste 1
Springvale
Springvale, ME 04083-1818
Phone (207) 206-7270
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MM0517 | Other | ME | MEDICARE PTAN |
| MM0517 | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D2068424 | Just for Women Gynecology | Provider-performed microscopy | Nov 3, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8019/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Springvale, ME
- NPI 1649230269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1400630400000",
"number": "1295163004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "462 MAIN ST STE 1",
"address_2": "SPRINGVALE",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831818",
"telephone_number": "207-206-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 MAIN ST STE 1",
"address_2": "SPRINGVALE",
"city": "SPRINGVALE",
"state": "ME",
"postal_code": "040831818",
"telephone_number": "207-206-7270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST FOR WOMEN GYNECOLOGY , PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-15",
"last_updated": "2014-05-21",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "CLAIRE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "207-206-7270",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "ME",
"license": "MD11910",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "ME",
"license": "MD012728",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MM0517",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MM0517",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springvale, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.