Organization Active NPI

Complete Womens Healthcare LLC

  • Obstetrics & Gynecology Physician
  • Johns Creek, GA
National Provider Identifier
1306984927
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
054445 Issued in GA
Legal business name
COMPLETE WOMENS HEALTHCARE LLC
Practice address
10710 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone
(770) 622-9810
Fax
(770) 622-9811
NPI assigned
Feb 3, 2007
Last updated
May 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Authorized official

Name
Dr. Dorigen K Kasparek, MDNPI 1558329854
Title
Owner
Phone
(770) 622-9810

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X GA
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 054445 GA Primary

Addresses

Primary practice location

10710 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097

Mailing address

10710 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone (770) 622-9810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070413000317 GA Part B Supplier - Clinic/Group Practice 7517062946 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

634 Peachtree Pkwy
Ste 110
Cumming, GA 30041
Phone (770) 622-9810

10710 Medlock Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone (770) 497-4188

Interoperability endpoints

  • Direct secure messaging: dorikasparek@completewc.allscriptsdirect.net
  • Direct secure messaging: jennifergrizzle@completewc.allscriptsdirect.net
  • Direct secure messaging: tarasuarez@completewc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1306984927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD",
            "address_2": "STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "770-622-9810",
            "fax_number": "770-622-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MEDLOCK BRIDGE RD",
            "address_2": "STE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "770-622-9810",
            "fax_number": "770-622-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WOMENS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-03",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "KASPAREK",
        "authorized_official_first_name": "DORIGEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-622-9810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "054445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.