Organization Active NPI

Womens Health Specialists LLC

  • Gynecology Physician
  • Crawfordsville, IN
National Provider Identifier
1346230885
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
01047257A Issued in IN
Legal business name
WOMENS HEALTH SPECIALISTS LLC
Practice address
1901 Lafayette Rd
Ste 100
Crawfordsville, IN 47933
Phone
(765) 361-8586
Fax
(765) 364-8641
NPI assigned
Oct 26, 2005
Last updated
Mar 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Authorized official

Name
Mr. Arun Jain, MDNPI 1851576912
Title
Physician
Phone
(765) 361-8586

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
Gynecology Physician 207VG0400X 01047257A IN Primary

Addresses

Primary practice location

1901 Lafayette Rd
Ste 100
Crawfordsville, IN 47933

Mailing address

1901 Lafayette Rd
Ste 100
Crawfordsville, IN 47933
Phone (765) 361-8586

Other identifiers 1

IdentifierTypeStateIssuer
200223460MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000584 IN Part B Supplier - Clinic/Group Practice 9133026909 Receives reassigned benefits from 2 practitioners
Practice locations: Crawfordsville, IN

National Provider Directory

National Provider Directory

Locations

1901 Lafayette Rd
Ste 100
Crawfordsvlle, IN 47933
Phone (765) 361-8586

Practitioners & affiliated clinicians

Practitioners 2

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": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1346230885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 LAFAYETTE RD",
            "address_2": "STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "47933",
            "telephone_number": "765-361-8586",
            "fax_number": "765-364-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 LAFAYETTE RD",
            "address_2": "STE 100",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "47933",
            "telephone_number": "765-361-8586",
            "fax_number": "765-364-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "ARUN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "765-361-8586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01047257A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200223460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.