Organization Active NPI

Medical Center Women's Health, Inc

  • Gynecology Physician
  • Fishersville, VA
National Provider Identifier
1417079831
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101048669 Issued in VA
Legal business name
MEDICAL CENTER WOMEN'S HEALTH, INC
Practice address
70 Medical Center Cir
Suite 202
Fishersville, VA 22939-2273
Phone
(540) 245-7007
Fax
(540) 245-7009
NPI assigned
Apr 5, 2007
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mrs. Bobbie L Desper, CPC
Title
Billing Manager
Phone
(540) 245-7007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 0101048669 VA Primary

Addresses

Primary practice location

70 Medical Center Cir
Suite 202
Fishersville, VA 22939-2273

Mailing address

70 Medical Center Cir
Suite 202
Fishersville, VA 22939-2273
Phone (540) 245-7007

Other identifiers 1

IdentifierTypeStateIssuer
0101048669OtherVASTATE MD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070525000403 VA Part B Supplier - Clinic/Group Practice 8527165570 Receives reassigned benefits from 1 practitioner
Practice locations: Fishersville, VA

National Provider Directory

National Provider Directory

Locations

70 Medical Center Cir
Ste 202
Fishersville, VA 22939
Phone (540) 245-7007

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14792/brand/1/csg/1/fhir/r4

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": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1417079831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 202",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-245-7007",
            "fax_number": "540-245-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MEDICAL CENTER CIR",
            "address_2": "SUITE 202",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392273",
            "telephone_number": "540-245-7007",
            "fax_number": "540-245-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER WOMEN'S HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "DESPER",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "540-245-7007",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101048669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MD LICENSE",
            "identifier": "0101048669",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.