Organization Active NPI

Womens Special Care P a

  • Obstetrics & Gynecology Physician
  • Jacksonville, FL
National Provider Identifier
1508903030
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME77123 Issued in FL
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
261872900MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.