Organization Active NPI

Womens Specialty Care SC

  • Obstetrics & Gynecology Physician
  • Lake Forest, IL
National Provider Identifier
1477611028
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036093085 Issued in IL
Legal business name
WOMENS SPECIALTY CARE SC
Practice address
840 S Waukegan Rd Ste 208
Lake Forest, IL 60045-2619
Phone
(847) 295-0433
Fax
(847) 234-0034
NPI assigned
Dec 5, 2006
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Dr. Karen J Mass, MDNPI 1710179759
Title
President
Phone
(847) 295-0433

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 036093085 IL Primary
Radiology Clinic/Center 261QR0200X
Mammography Clinic/Center 261QR0206X

Addresses

Primary practice location

840 S Waukegan Rd Ste 208
Lake Forest, IL 60045-2619

Mailing address

475 McCormick Dr
Lake Forest, IL 60045-3349
Phone (847) 295-0433

Other names 2

  • Dr Karen J Mass MD Other name
  • Mass Medical Imaging Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050823000126 IL Part B Supplier - Clinic/Group Practice 6608807383 Receives reassigned benefits from 1 practitioner
Practice locations: Grayslake, IL; Lake Forest, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1000914Office of Karen J Mass MD840 S Waukegan Rd - Ste 208, Lake Forest, IL 60045Provider-performed microscopyJun 25, 2028

National Provider Directory

National Provider Directory

Locations

840 S Waukegan Rd
Ste 204
Lake Forest, IL 60045

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2494/brand/1/csg/1/fhir/r4

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": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1477611028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 MCCORMICK DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453349",
            "telephone_number": "847-295-0433",
            "fax_number": "847-295-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S WAUKEGAN RD STE 208",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452619",
            "telephone_number": "847-295-0433",
            "fax_number": "847-234-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS SPECIALTY CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "MASS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-295-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036093085",
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Karen J Mass MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mass Medical Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.