Women's Medical & Surgical Clinic, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

05120R Issued in LA

Legal business name

WOMEN'S MEDICAL & SURGICAL CLINIC, INC.

Practice address

805 Cherry St
Mamou, LA 70554-2223

Phone

(337) 468-2250

Fax

(337) 468-2702

NPI assigned

Aug 28, 2009

Last updated

Apr 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Upendra M Kulkarni, M.D.NPI 1750311478

Title

President

Phone

(337) 468-2250

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Women's Medical & Surgical Clinic, Inc.

  dba Mamou Ob.Gyn. & Family Health Center

  • Rural Health Clinic/Center
  • Mamou, LA
  • NPI 1972950996

  6406996602

  Same PAC ID

Tax ID family

Mamou OB GYN Family Health Ctr2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Women's Medical & Surgical Clinic, Inc.

  dba Mamou Ob.Gyn. & Family Health Center

  • Rural Health Clinic/Center
  • Mamou, LA
  • NPI 1972950996
  NPD tax ID

Locations

Practitioners 3

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.

• Upendra M Kulkarni, M.D.

  • Obstetrics & Gynecology Physician
  • Mamou, LA
  • NPI 1750311478
  Medicare reassignment Care Compare group NPD Authorized official
• Katie Brooke Deshotel, APRN WHNP

  • Nurse Practitioner
  • Mamou, LA
  • NPI 1205343183
  Medicare reassignment Care Compare group NPD
• Kaitlyn Maricle

  • Family Nurse Practitioner
  • Oakdale, LA
  • NPI 1023804127
  NPD (past)

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1447483110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CHERRY ST",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542223",
            "telephone_number": "337-468-2250",
            "fax_number": "337-468-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 CHERRY ST",
            "city": "MAMOU",
            "state": "LA",
            "postal_code": "705542223",
            "telephone_number": "337-468-2250",
            "fax_number": "337-468-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL & SURGICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KULKARNI",
        "authorized_official_first_name": "UPENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-468-2250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "05120R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "1900461332",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMC",
            "identifier": "4507365",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH SOLUTIONS CCN",
            "identifier": "1811866",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP CCN",
            "identifier": "1811866",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA HEALTHCARE CONNECTIONS CCN",
            "identifier": "P10000361561",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811866",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5DL47",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE CCN",
            "identifier": "1811866",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thrifty Way Pharmacy of Mamou LLC
• Thrifty Way Pharmacy of Mamou LLC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3755)
• Wheelchair Equipment and Bracing Specialists LLC
• Women's Clinic of Oakdale, L.L.C. (The Mamou OB-GYN Clinic)
• Women's Medical & Surgical Clinic, Inc. (Mamou Ob.Gyn. & Family Health Center)

• Obstetrics & Gynecology Physician in Mamou, LA
• Providers in Mamou, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.