Active NPI
Wise Woman OB/GYN, PC
- Obstetrics & Gynecology Physician
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WISE WOMAN OB/GYN, PC
- Practice address
- 172 Clinton St
Watertown, NY 13601-3602 - Phone
- (315) 782-6262
- Fax
- (315) 782-5181
- NPI assigned
- May 15, 2006
- Last updated
- May 6, 2008
- 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
- Nanci L. Hawkins, MD
- Title
- President
- Phone
- (315) 782-6262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | NU | ||
| Advanced Practice Midwife | 367A00000X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
172 Clinton St
Watertown, NY 13601-3602
Mailing address
1001 W Fayette St
Ste 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02751077 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
172 Clinton St
Watertown, NY 13601
Phone (315) 782-6262
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
- Watertown, NY
- NPI 1922057710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1649221367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST",
"address_2": "STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042859",
"telephone_number": "315-472-1488",
"fax_number": "315-476-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 CLINTON ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136013602",
"telephone_number": "315-782-6262",
"fax_number": "315-782-5181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WISE WOMAN OB/GYN, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "NANCI",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-782-6262",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02751077",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.