Individual provider Active NPI

Emily J. Windham, M.D.

  • Obstetrics & Gynecology Physician
  • Newburgh, IN
National Provider Identifier
1679536817
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01081720A Issued in IN
Practice address
4199 Gateway Blvd
Newburgh, IN 47630-8940
Phone
(812) 842-4200
Fax
(812) 602-3174
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D35536 MD
Obstetrics & Gynecology Physician 207V00000X 01081720A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd
Newburgh, IN 47630-8940

Mailing address

PO Box 538
Leonardtown, MD 20650-0538
Phone (301) 475-3790

Other practice location 1

41650 Courthouse Drive
200
Leonardtown, MD 20650
Phone (301) 475-3790

Other identifiers 2

IdentifierTypeStateIssuer
445801000MedicaidMD
300023744MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000147 TN Practitioner - Obstetrics/Gynecology 3476549395 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27197MDMDPharmacist
D35536MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Tennessee, P.C. Obstetrics & Gynecology CurrentSince Aug 28, 2017 Accepting new patients
Obhg Tennessee, P.C. Obstetrics & Gynecology CurrentSince Feb 23, 2019 Accepting new patients
OB-GYN Management, Inc Past Accepting new patients
DHP of Potomac PC Obstetrics & Gynecology PastSince Jun 1, 2015 Accepting new patients
Gynecology of St. Mary'S Past Accepting new patients
Delphi OB GYN Group LLC Obstetrics & Gynecology Past Accepting new patients
Advanced Diagnostic Imaging, PC Obstetrics & Gynecology Past Accepting new patients

Locations

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

210 23rd Ave N
Ste 420
Nashville, TN 37203
Phone (615) 301-6720

345 23rd Ave N
Ste 420
Nashville, TN 37203
Phone (615) 301-6720

2201 Murphy Ave
Ste 306
Nashville, TN 37203
Phone (615) 320-4646

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1679536817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500538",
            "telephone_number": "301-475-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308940",
            "telephone_number": "812-842-4200",
            "fax_number": "812-602-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41650 Courthouse Drive",
            "address_2": "200",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "20650",
            "country_code": "US",
            "telephone_number": "301-475-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "EMILY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D35536",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01081720A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445801000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300023744",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.