NPIMap

Organization Active NPI

Mid-Atlantic Womens Care PLC

  • Specialist
  • Newport News, VA
National Provider Identifier
1578652137
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MID-ATLANTIC WOMENS CARE PLC
Practice address
11842 Rock Landing Dr
Suite 115
Newport News, VA 23606-4437
Phone
(757) 595-9905
Fax
(757) 595-5377
NPI assigned
Oct 12, 2006
Last updated
Jan 30, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MID-ATLANTIC WOMENS CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Dr. Kathy K O'Connell, M.D.
Title
President
Phone
(757) 595-9905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11842 Rock Landing Dr
Suite 115
Newport News, VA 23606-4437

Mailing address

11842 Rock Landing Dr
Suite 115
Newport News, VA 23606-4437
Phone (757) 595-9905

Other identifiers 1

IdentifierTypeStateIssuer
006208649MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040115000607 VA Part B Supplier - Clinic/Group Practice 8820998156 Receives reassigned benefits from 223 practitioners
19 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norfolk, VA; Richmond, VA; Roanoke, VA; Suffolk, VA; Virginia Beach, VA; Williamsburg, VA; Chesapeake, VA; Franklin, VA…

Other NPIs on the same Medicare enrollment 19

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 19

National Provider Directory

National Provider Directory
Part of
Womancare of Williamsbu

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1578652137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR",
            "address_2": "SUITE 115",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-595-9905",
            "fax_number": "757-595-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11842 ROCK LANDING DR",
            "address_2": "SUITE 115",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064437",
            "telephone_number": "757-595-9905",
            "fax_number": "757-595-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-ATLANTIC WOMENS CARE PLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MID-ATLANTIC WOMENS CARE PLC",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-595-9905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006208649",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; 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.