Organization Active NPI

Caritas Womancare Inc

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1386847887
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0075697 Issued in FL
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.