Organization Active NPI

Womans Clinic PA

  • Obstetrics Physician
  • Spartanburg, SC
National Provider Identifier
1396798146
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
WOMANS CLINIC PA
Practice address
475 Heywood Ave
Spartanburg, SC 29307-1726
Phone
(864) 699-5020
Fax
(864) 699-5050
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Tamela J Walker
Title
Certified Medical Coder
Phone
(864) 699-5042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

475 Heywood Ave
Spartanburg, SC 29307-1726

Mailing address

475 Heywood Ave
Spartanburg, SC 29307-1726
Phone (864) 699-5020

Other identifiers 1

IdentifierTypeStateIssuer
PA0800MedicaidSC

National Provider Directory

National Provider Directory

Locations

1575 E Main St
Duncan, SC 29334
Phone (864) 487-3338

Practitioners & affiliated clinicians

Practitioners 1

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": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1396798146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HEYWOOD AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071726",
            "telephone_number": "864-699-5020",
            "fax_number": "864-699-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HEYWOOD AVE",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071726",
            "telephone_number": "864-699-5020",
            "fax_number": "864-699-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMANS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CERTIFIED MEDICAL CODER",
        "authorized_official_telephone_number": "864-699-5042"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA0800",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.