Organization Active NPI

Women's Healthcare Office of OBGYN

  • Specialist
  • Memphis, TN
National Provider Identifier
1316089238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD020350 Issued in TN
Legal business name
WOMEN'S HEALTHCARE OFFICE OF OBGYN
Practice address
6825 Winchester Rd
Suite 1
Memphis, TN 38115-4423
Phone
(901) 345-4640
Fax
(901) 399-7973
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brenda Hardy, M.D.NPI 1538176805
Title
Physician
Phone
(901) 345-4640

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD020350 TN Primary

Addresses

Primary practice location

6825 Winchester Rd
Suite 1
Memphis, TN 38115-4423

Mailing address

PO Box 40978
Memphis, TN 38174-0978
Phone (901) 345-4640

Other identifiers 2

IdentifierTypeStateIssuer
4041571OtherTNBLUECROSS BLUESHIELD
3812313MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120613000717 TN Part B Supplier - Clinic/Group Practice 5698939114 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, TN

National Provider Directory

National Provider Directory
Tax ID family
Women's Healthcare Office of OBGYN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1920 Kirby Pkwy
Ste 204
Germantown, TN 38138
Phone (901) 345-4640

6825 Winchester Rd
Ste 1
Memphis, TN 38115
Phone (901) 345-4640

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316089238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40978",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381740978",
            "telephone_number": "901-345-4640",
            "fax_number": "901-399-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 WINCHESTER RD",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154423",
            "telephone_number": "901-345-4640",
            "fax_number": "901-399-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTHCARE OFFICE OF OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-345-4640",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD020350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4041571",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3812313",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.