Active NPI
Women's Health Center of Swva LLC
- Obstetrics & Gynecology Physician
- Pulaski, VA
National Provider Identifier
1508030081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMEN'S HEALTH CENTER OF SWVA LLC
- Practice address
- 101 1St St NW
Suite 1
Pulaski, VA 24301-5603 - Phone
- (540) 980-9170
- Fax
- (540) 980-9175
- NPI assigned
- Apr 16, 2008
- Last updated
- Jul 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Tedrick John
- Title
- VP
- Phone
- (804) 237-7760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
101 1St St NW
Suite 1
Pulaski, VA 24301-5603
Mailing address
101 1St St NW
Suite 1
Pulaski, VA 24301-5603
Phone (540) 980-9170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508030081 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
101 1st St NW
Ste 1
Pulaski, VA 24301
Phone (540) 980-2844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248307200000",
"number": "1508030081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 1ST ST NW",
"address_2": "SUITE 1",
"city": "PULASKI",
"state": "VA",
"postal_code": "243015603",
"telephone_number": "540-980-9170",
"fax_number": "540-980-9175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 1ST ST NW",
"address_2": "SUITE 1",
"city": "PULASKI",
"state": "VA",
"postal_code": "243015603",
"telephone_number": "540-980-9170",
"fax_number": "540-980-9175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH CENTER OF SWVA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2009-07-23",
"status": "A",
"authorized_official_last_name": "JOHN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "TEDRICK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "804-237-7760"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508030081",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pulaski, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.