South Shore Women's Health Care PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

RP073123 Issued in MI

Legal business name

SOUTH SHORE WOMEN'S HEALTH CARE PC

Practice address

2690 S Cleveland Avenue
St. Joseph, MI 49085-3002

Phone

(269) 428-2800

Fax

(269) 428-7177

NPI assigned

Apr 13, 2007

Last updated

May 18, 2011By 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

Mrs. Rachael E Proctor, M.D.NPI 1730133034

Title

President

Phone

(269) 428-2800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BGAJDD

Practitioners 6

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.

• Rachael E Proctor, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Joseph, MI
  • NPI 1730133034
  Medicare reassignment Care Compare group Authorized official
• Michele L Ashton, MD

  • Obstetrics & Gynecology Physician
  • Saint Joseph, MI
  • NPI 1295763159
  Medicare reassignment Care Compare group NPD
• Heidi Marie Grabemeyer-Layman, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Joseph, MI
  • NPI 1679771562
  Medicare reassignment Care Compare group NPD
• Lorelei Williams, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1750669016
  Medicare reassignment Care Compare group NPD
• Leah Mae Merrick, PA-C

  • Physician Assistant
  • Saint Joseph, MI
  • NPI 1669059796
  NPD
• Carol Czuk, N.P.

  • Nurse Practitioner
  • Saint Joseph, MI
  • NPI 1831184605
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1649494246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVENUE",
            "city": "ST. JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800",
            "fax_number": "269-428-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 S CLEVELAND AVENUE",
            "city": "ST. JOSEPH",
            "state": "MI",
            "postal_code": "490853002",
            "telephone_number": "269-428-2800",
            "fax_number": "269-428-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE WOMEN'S HEALTH CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "PROCTOR",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-428-2800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "RP073123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sommer
• Oliver Chambers Songlingco, M.D.
• John Sordyl IV, CRNA
• Ryan Sosh, MD
• Silvia M Soto, MD,DO
• Southwest Michigan Center for Orthopaedic and Sports Medicine P
• Southwest Michigan Integrative Massage Center, PLLC
• Southwest Michigan Pathology Services, PC
• Southwest Michigan Rhuematology Center,P.C.
• Jason Thomas Spaude, OD

• Obstetrics & Gynecology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Obstetrics & Gynecology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.