NPIMap

Organization Active NPI

Womens Center for Health and Wellness, PLLC

  • Gynecology Physician
  • Fort Smith, AR
National Provider Identifier
1629565072
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
E5219 Issued in AR
Legal business name
WOMENS CENTER FOR HEALTH AND WELLNESS, PLLC
Practice address
3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone
(479) 459-6528
Fax
(479) 222-6893
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Thomas Reynolds Wood, DONPI 1093844086
Title
Manager
Phone
(479) 431-7085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X E5219 AR Primary

Addresses

Primary practice location

3000 Rogers Ave
Fort Smith, AR 72901-4232

Mailing address

3000 Rogers Ave
Fort Smith, AR 72901-4232
Phone (479) 459-6528

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190226001923 AR Part B Supplier - Clinic/Group Practice 7911246525 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

3000 Rogers Ave
Fort Smith, AR 72901
Phone (479) 459-6528

3000 Rogers Ave
Ste 3
Fort Smith, AR 72901

8101 McClure Dr
Ste 100
Fort Smith, AR 72916
Phone (479) 242-2442

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1629565072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014232",
            "telephone_number": "479-459-6528",
            "fax_number": "479-222-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014232",
            "telephone_number": "479-459-6528",
            "fax_number": "479-222-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CENTER FOR HEALTH AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-431-7085",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AR",
            "license": "E5219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.