Elite Womens Care

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

ELITE WOMENS CARE

Practice address

11319 Cortez Blvd
Brooksville, FL 34613-5407

Phone

(352) 597-0907

NPI assigned

Apr 17, 2019

Organization subpart

No

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

Authorized official

Name

Johannes Wijnmaalen

Title

Cfo

Phone

(352) 597-0907

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16814/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DEEHBD

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1336702109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135407",
            "telephone_number": "352-597-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11319 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135407",
            "telephone_number": "352-597-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WOMENS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "WIJNMAALEN",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "352-597-0907"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eh Home Health of the Southeast, LLC
• Mohamad Eid, M.D.
• Youssef Alaa Elbanna, DO
• Elevated Estates of Brooksville LLC
• Matthew Eliassen, MD
• Jeanne Louise Ellis, RN
• Venkata Rao Emandi, M.D.
• Encompass Health Rehabilitation Hospital of Spring Hill, Inc.
• Evelyn Mondares Erana, PHYSICAL THERAPIST
• Erin Abbott Street Mateer MD PLLC

• Gynecology Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; 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.