Active NPI
Womens Special Care P a
- Obstetrics & Gynecology Physician
- Jacksonville, FL
National Provider Identifier
1508903030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME77123
- Legal business name
- WOMENS SPECIAL CARE P A
- Practice address
- 3900 University Blvd S
Jacksonville, FL 32216-4313 - Phone
- (904) 858-1574
- Fax
- (904) 398-4263
- NPI assigned
- Feb 1, 2007
- Last updated
- May 29, 2008
- 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
- Sunwook Kim-Ashchi
- Title
- MD
- Phone
- (904) 858-1574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME77123 | FL | Primary |
Addresses
Primary practice location
3900 University Blvd S
Jacksonville, FL 32216-4313
Mailing address
7803 Hollyridge Rd
Jacksonville, FL 32256-7135
Phone (904) 858-1574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261872900 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
3900 University Blvd S
Jacksonville, FL 32216
Phone (904) 222-6656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212019200000",
"number": "1508903030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7803 HOLLYRIDGE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567135",
"telephone_number": "904-858-1574",
"fax_number": "904-398-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164313",
"telephone_number": "904-858-1574",
"fax_number": "904-398-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS SPECIAL CARE P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2008-05-29",
"status": "A",
"authorized_official_last_name": "KIM-ASHCHI",
"authorized_official_first_name": "SUNWOOK",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "904-858-1574"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME77123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261872900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.