Advanced Women'S Care Inc
Organization Active NPI Obstetrics & Gynecology Physician · Boardman, OH
NPI 1356525745 · NPPES record last updated Oct 30, 2018
Key facts
- NPI
- 1356525745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ADVANCED WOMEN'S CARE INC
- Practice address
- 1111 Boardman Canfield Rd
Boardman, OH 44512-4218 - Phone
- (330) 965-0909
- NPI assigned
- Dec 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sahar El-Hayek
- Title
- Office Manager
- Phone
- (330) 965-0909
Practitioners 11
-
Carrie Anne Blissenbach, WHNP-BC
-
Antoine T El-Hayek, M.D.
-
Tara D Winchester, D.O.
-
Melissa E Duvall, NP
-
Dawn M Howell, APRN, FNP-BC
-
Kristi A Johnson, MD
-
Melissa Lowe, FNP-C
-
Richelle D Shipman, CRNP
-
Deanna Moore, MSN, APRN, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0952393 | Advanced Women'S Care Inc | Certificate of waiver | Oct 14, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000603 | OH | Part B Supplier - Clinic/Group Practice | 0840186508 |
Receives reassigned benefits from 11 practitioners Practice locations: Boardman, OH |
National Provider Directory
Locations
2376 Southeast Blvd
Ste B
Salem, OH 44460
Phone (330) 965-0909
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
1111 Boardman Canfield Rd
Boardman, OH 44512-4218
Mailing address
1111 Boardman Canfield Rd
Boardman, OH 44512-4218
Phone (330) 965-0909
Other practice location 1
2376 Southeast Blvd Ste B
Salem, OH 44460-3473
Phone (330) 965-0909
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2431569 | Medicaid | OH |
Other providers in Boardman, OH
- Advanced Chiropractic and Rahabilitation, LLC
- Advanced Dermatology and Skin Cancer Center
- Advanced Dermatology and Skin Cancer Center
- Advanced Foot and Ankle Centers, Inc
- Advanced Motion X-Ray
- Agape Behavioral Health Center
- Nicholas Frank Agnesi
- Hi Moon Ahn
- Catherine F Aigner
- Michelle N Akiko
All providers in Boardman, OH · Obstetrics & Gynecology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.