Organization Active NPI

Southside Women's Health Care, P.C.

  • Obstetrics & Gynecology Physician
  • Colonial Heights, VA
National Provider Identifier
1407984206
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101049234 Issued in VA
Legal business name
SOUTHSIDE WOMEN'S HEALTH CARE, P.C.
Practice address
3660 Boulevard
Suite J
Colonial Heights, VA 23834-1345
Phone
(804) 520-1099
Fax
(804) 520-8404
NPI assigned
Mar 1, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Dr. Margaret Dahmus Walsh, M.D.NPI 1700852563
Title
President
Phone
(804) 520-1099

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 0101049234 VA Primary

Addresses

Primary practice location

3660 Boulevard
Suite J
Colonial Heights, VA 23834-1345

Mailing address

3660 Boulevard
Suite J
Colonial Heights, VA 23834-1345
Phone (804) 520-1099

Other identifiers 1

IdentifierTypeStateIssuer
6211381MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1407984206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 BOULEVARD",
            "address_2": "SUITE J",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341345",
            "telephone_number": "804-520-1099",
            "fax_number": "804-520-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 BOULEVARD",
            "address_2": "SUITE J",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238341345",
            "telephone_number": "804-520-1099",
            "fax_number": "804-520-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE WOMEN'S HEALTH CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "DAHMUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-520-1099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101049234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6211381",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.