Organization Active NPI

Friendly Womens Healthcare LLC

  • Obstetrics & Gynecology Physician
  • Carmel, IN
National Provider Identifier
1427418805
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01069688A Issued in IN
Legal business name
FRIENDLY WOMENS HEALTHCARE LLC
Practice address
755 W Carmel Dr Ste 202
Carmel, IN 46032
Phone
(317) 218-7764
Fax
(317) 249-8640
NPI assigned
Feb 29, 2016
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Authorized official

Name
Rao ZhouNPI 1952561169
Title
Administrative Officer
Phone
(317) 218-7764

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 01069688A IN Primary

Addresses

Primary practice location

755 W Carmel Dr Ste 202
Carmel, IN 46032

Mailing address

755 W Carmel Dr Ste 202
Carmel, IN 46032-5878
Phone (317) 218-7764

Other practice location 1

5222 S East St Ste B3
Indianapolis, IN 46227-1983
Phone (317) 218-7764

Other identifiers 1

IdentifierTypeStateIssuer
201338220AMedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160330000857 IN Part B Supplier - Clinic/Group Practice 8224335690 Receives reassigned benefits from 1 practitioner
Practice locations: Carmel, IN; Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

755 W Carmel Dr
Ste 202
Carmel, IN 46032
Phone (317) 218-7764

29 E McCarty St
Ste 200
Indianapolis, IN 46225
Phone (317) 218-7764

5222 S East St
Ste B3
Indianapolis, IN 46227
Phone (317) 218-7764

Practitioners & affiliated clinicians

Practitioners 2

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": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1427418805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325878",
            "telephone_number": "317-218-7764",
            "fax_number": "317-249-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR STE 202",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "46032",
            "telephone_number": "317-218-7764",
            "fax_number": "317-249-8640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5222 S East St Ste B3",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462271983",
            "country_code": "US",
            "telephone_number": "317-218-7764",
            "fax_number": "317-249-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRIENDLY WOMENS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "RAO",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "317-218-7764"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01069688A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201338220A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.