Women and Children'S Clinic, PSC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WOMEN AND CHILDREN'S CLINIC, PSC

Practice address

1411 N Race St
Glasgow, KY 42141-3474

Phone

(270) 651-9755

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Orlando Bravo

Title

President

Phone

(270) 651-9755

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Women and Children'S Clinic PSC2 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.

• Women & Children'S Clinic

  • Pediatrics Physician
  • Terre Haute, IN
  • NPI 1083797039
  NPD tax ID

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1619006889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-651-9755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN AND CHILDREN'S CLINIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-651-9755"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78903911",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65929242",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spencer Broady Witcher, MD
• Anita Denise Witt, MAE, PLE, DI
• Lauren Renae Witt
• Karen S. Witty, D.I./IECE/MAE
• Lisa M. Wolfinbarger, LPCC
• Abbey Wood
• Tyler Wood, PHARMD
• Shamaria Woodard
• Whitney Marie Woodcock, PHARMD
• Kristal G Woodford

• Obstetrics & Gynecology Physician in Glasgow, KY
• Providers in Glasgow, KY by specialty
• Obstetrics & Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.