Active NPI
Caritas Womancare Inc
- Obstetrics & Gynecology Physician
- Melbourne, FL
National Provider Identifier
1386847887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME0075697
- Legal business name
- CARITAS WOMANCARE INC
- Doing business as
- CARITAS WOMANCARE
- Practice address
- 240 N Wickham Rd
Ste 104
Melbourne, FL 32935-8662 - Phone
- (321) 242-1325
- Fax
- (321) 242-1870
- NPI assigned
- Jun 11, 2007
- Organization subpart
- Yes
- Parent organization
- WUESTHOFF FAMILY PHYSICIANS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandi Laroche
- Title
- Mso Credentialing Coordinator
- Phone
- (321) 449-4168
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME0075697 | FL | Primary |
Addresses
Primary practice location
240 N Wickham Rd
Ste 104
Melbourne, FL 32935-8662
Mailing address
150 N Sykes Creek Pkwy
Suite 300
Merritt Island, FL 32953-3488
Phone (321) 449-4168
Other names 1
- CARITAS WOMANCARE
National Provider Directory
National Provider Directory- Part of
- Wuesthoff Family Physicians Inc
Locations
1430 Valentine St
Melbourne, FL 32901
Phone (321) 409-9980
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Physician
- Rockledge, FL
- NPI 1720092000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Zephyrhills, FL
- NPI 1902894371
-
- Obstetrics & Gynecology Physician
- Ashland, WI
- NPI 1184617862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269302400000",
"number": "1386847887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 N SYKES CREEK PKWY",
"address_2": "SUITE 300",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329533488",
"telephone_number": "321-449-4168",
"fax_number": "321-449-4164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 N WICKHAM RD",
"address_2": "STE 104",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358662",
"telephone_number": "321-242-1325",
"fax_number": "321-242-1870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARITAS WOMANCARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WUESTHOFF FAMILY PHYSICIANS INC",
"enumeration_date": "2007-06-11",
"last_updated": "2010-03-23",
"status": "A",
"authorized_official_last_name": "LAROCHE",
"authorized_official_first_name": "SANDI",
"authorized_official_title_or_position": "MSO CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "321-449-4168"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME0075697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CARITAS WOMANCARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.