Charleston Womens Wellness Center, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20332 Issued in SC

Legal business name

CHARLESTON WOMENS WELLNESS CENTER, LLC

Practice address

5319 Parkshire Way
Charleston, SC 29418-2102

Phone

(843) 767-2121

Fax

(843) 767-2102

NPI assigned

Dec 19, 2006

Last updated

Apr 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paula Orr, MDNPI 1023047818

Title

Physician

Phone

(843) 767-2121

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Tax ID family

Charleston Women Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paula Orr MD

  dba Charleston Womens Wellness Center

  • Non-Pharmacy Dispensing Site
  • N Charleston, SC
  • NPI 1265500409
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14771/brand/1/csg/1/fhir/r4

Practitioners 4

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.

• Paula E Orr, MD

  • Obstetrics & Gynecology Physician
  • Charleston, SC
  • NPI 1023047818
  Medicare reassignment Authorized official
• Ashley Meyers Harwyn, PA-C

  • Physician Assistant
  • North Charleston, SC
  • NPI 1568898302
  NPD (past)
• Janice Klaiber Haynes, NP

  • Women's Health Nurse Practitioner
  • N Charleston, SC
  • NPI 1467480699
  NPD (past)
• Melissa Omega Mitchell, RD

  • Registered Dietitian
  • North Charleston, SC
  • NPI 1134524341
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1578626552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 PARKSHIRE WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294182102",
            "telephone_number": "843-767-2121",
            "fax_number": "843-767-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 PARKSHIRE WAY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294182102",
            "telephone_number": "843-767-2121",
            "fax_number": "843-767-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTON WOMENS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "ORR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "843-767-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "20332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MRDICARE ID",
            "identifier": "14069596843",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T45742",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "GP2837",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Vamc
• Charleston Vamc
• Charleston Vision Center LLC
• Charleston Wellness Clinic LLC
• Charleston Women's Therapy
• Charlestoneye PA
• Charlestowne Internal Medicine
• Paige Chase, MD
• Joseph Arthur Chasen, DO
• Misty Love Chastain, PAC

• Obstetrics & Gynecology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.