Organization Active NPI

Just for Women Gynecology , PA

  • Gynecology Physician
  • Springvale, ME
National Provider Identifier
1295163004
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD11910 Issued in ME
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

Updated by the provider on May 21, 2014

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

Authorized official

Name
Kathleen Claire Morris, MDNPI 1649230269
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VG0400X MD11910 ME Primary
Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
MM0517OtherMEMEDICARE PTAN
MM0517OtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140730000439 ME Part B Supplier - Clinic/Group Practice 8820214703 Receives reassigned benefits from 1 practitioner
Practice locations: Springvale, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D2068424Just for Women Gynecology462 Main Street, Suite 1, Springvale, ME 04083Provider-performed microscopyNov 3, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.