Active NPI
Women's Health Specialist LLC
- Obstetrics & Gynecology Physician
- Walterboro, SC
National Provider Identifier
1609936905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 29448
- Legal business name
- WOMEN'S HEALTH SPECIALIST LLC
- Practice address
- 457 Spruce St
Walterboro, SC 29488-2766 - Phone
- (843) 549-6900
- Fax
- (843) 549-8051
- NPI assigned
- Dec 10, 2006
- Last updated
- Aug 22, 2020
- 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
- Dr. Karen Marie Rodeffer-Evans, MD
- Title
- Owner
- Phone
- (843) 549-6900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 29448 | SC | Primary |
Addresses
Primary practice location
457 Spruce St
Walterboro, SC 29488-2766
Mailing address
457 Spruce St
PO Box 1067
Walterboro, SC 29488-2766
Phone (843) 549-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP3378 | Medicaid | SC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609936905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 SPRUCE ST",
"address_2": "PO BOX 1067",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882766",
"telephone_number": "843-549-6900",
"fax_number": "843-549-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 SPRUCE ST",
"city": "WALTERBORO",
"state": "SC",
"postal_code": "294882766",
"telephone_number": "843-549-6900",
"fax_number": "843-549-8051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH SPECIALIST LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RODEFFER-EVANS",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-549-6900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "29448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP3378",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walterboro, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.