Organization Active NPI

Park West Women'S Associates PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1497055602
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M7837 Issued in TX
Legal business name
PARK WEST WOMEN'S ASSOCIATES PLLC
Practice address
12606 W Houston Center Blvd
Suite 120
Houston, TX 77082-2784
Phone
(713) 640-5922
Fax
(713) 640-5982
NPI assigned
Oct 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Dr. Daisy A Ayim, MDNPI 1417159047
Title
President
Phone
(713) 385-0664

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X M7837 TX Primary

Addresses

Primary practice location

12606 W Houston Center Blvd
Suite 120
Houston, TX 77082-2784

Mailing address

12606 W Houston Center Blvd
Suite 120
Houston, TX 77082-2784
Phone (713) 640-5922

Other names 1

  • none Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110324001007 TX Part B Supplier - Clinic/Group Practice 7416130687 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

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
45D2018057Park West Women'S Associates, PLLC12606 West Houston Center Blvd, Suite 120, Houston, TX 77082Provider-performed microscopyDec 21, 2026

National Provider Directory

National Provider Directory

Locations

12606 West Houston Center Blvd
Ste 120
Houston, TX 77082
Phone (713) 640-5922

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEJABA

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1497055602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822784",
            "telephone_number": "713-640-5922",
            "fax_number": "713-640-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12606 W HOUSTON CENTER BLVD",
            "address_2": "SUITE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770822784",
            "telephone_number": "713-640-5922",
            "fax_number": "713-640-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK WEST WOMEN'S ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "AYIM",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-385-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M7837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.