Mena Center for Womens Health, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E2878 Issued in AR

Legal business name

MENA CENTER FOR WOMENS HEALTH, PA

Practice address

400 Crestwood Cir Ste P
Mena, AR 71953-5512

Phone

(479) 394-2534

Fax

(479) 394-7012

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Barrett Rocha, MDNPI 1588704217

Title

Owner/Physician

Phone

(479) 394-2534

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carlos Barrett Rocha, M.D.

  • Obstetrics & Gynecology Physician
  • Mena, AR
  • NPI 1588704217

  I20061025000792

  Same enrollment

Practitioners 1

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

• Carlos Barrett Rocha, M.D.

  • Obstetrics & Gynecology Physician
  • Mena, AR
  • NPI 1588704217
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1427155316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CRESTWOOD CIR STE P",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535512",
            "telephone_number": "479-394-2534",
            "fax_number": "479-394-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CRESTWOOD CIR STE P",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719535512",
            "telephone_number": "479-394-2534",
            "fax_number": "479-394-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENA CENTER FOR WOMENS HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "BARRETT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "479-394-2534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E2878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS NUMBER",
            "identifier": "5L863",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143840001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia McLellan, LCSW
• James Robert McWilliams, ANP
• Med Southwest, PLLC
• Medi Shop Pharmacy
• Medical Group of the Ozarks LLC
• Mena Dialysis Center LLC
• Mena Eye Care
• Mena Family Health Center
• Mena General Surgical Services, L.L.C.
• Mena Health, LLC

• Obstetrics & Gynecology Physician in Mena, AR
• Providers in Mena, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.