Organization Active NPI

Wingwomen PLLC

  • Obstetrics & Gynecology Physician
  • Boston, MA
National Provider Identifier
1356029953
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WINGWOMEN PLLC
Practice address
423 W Broadway Ste 302B
Boston, MA 02127-2266
Phone
(800) 491-2142
Fax
(800) 540-1781
NPI assigned
Jul 5, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Adonica ShawNPI 1154015212
Title
PLLC Management Company Owner
Phone
(415) 767-6999

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

423 W Broadway Ste 302B
Boston, MA 02127-2266

Mailing address

2185 Jacqueline Dr
Pittsburg, CA 94565-4404
Phone (415) 767-6999

National Provider Directory

National Provider Directory

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": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1356029953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 JACQUELINE DR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945654404",
            "telephone_number": "415-767-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 W BROADWAY STE 302B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272266",
            "telephone_number": "800-491-2142",
            "fax_number": "800-540-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGWOMEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ADONICA",
        "authorized_official_title_or_position": "PLLC MANAGEMENT COMPANY OWNER",
        "authorized_official_telephone_number": "415-767-6999"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.