Complete Womens Care PC

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

License

MD027587E Issued in PA

Legal business name

COMPLETE WOMENS CARE PC

Practice address

1650 Hungtondon Pike
Meadowbrook, PA 19046

Phone

(610) 956-0003

NPI assigned

May 3, 2007

Last updated

Jul 30, 2008By 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

David B Klebanoff, MD

Title

Delegated Official

Phone

(610) 956-0003

Specialties & licenses 1

Addresses

Other identifiers 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6856/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1629290275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 WEST FRONT STREET",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "18603",
            "telephone_number": "610-956-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HUNGTONDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "19046",
            "telephone_number": "610-956-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WOMENS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "KLEBANOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "610-956-0003",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD027587E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019196900002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Casey, CTTS
• Rose Charles, COTA
• Frederick Charles Cogen, M.D.
• David Eric Cohen, D.O.
• Annette M Colavita, M.D.
• Amanda Marie Conley, CRNA
• Carolyn Cristofalo, M.S.W, L.C.S.W.
• Marjorie Curtis-Cohen, M.D.
• Austin Patrick Daly, M.D., D.D.S
• Dasika Sastry MD PC

• Obstetrics Physician in Meadowbrook, PA
• Providers in Meadowbrook, PA by specialty
• Obstetrics Physician in Pennsylvania

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