Organization Active NPI

Boerne Women's Care, PLLC

  • Gynecology Physician
  • Boerne, TX
National Provider Identifier
1689868648
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
L2776 Issued in TX
Legal business name
BOERNE WOMEN'S CARE, PLLC
Practice address
124 E Bandera Rd
Suite 204
Boerne, TX 78006-2849
Phone
(830) 331-9674
Fax
(830) 331-9675
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Michael James Smith, M.D.NPI 1215046743
Title
Owner
Phone
(830) 331-9674

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 L2776 TX Primary

Addresses

Primary practice location

124 E Bandera Rd
Suite 204
Boerne, TX 78006-2849

Mailing address

124 E Bandera Rd
Suite 204
Boerne, TX 78006-2849
Phone (830) 331-9674

Other identifiers 1

IdentifierTypeStateIssuer
1689868648OtherTXGROUP NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1689868648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 E BANDERA RD",
            "address_2": "SUITE 204",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062849",
            "telephone_number": "830-331-9674",
            "fax_number": "830-331-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 E BANDERA RD",
            "address_2": "SUITE 204",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062849",
            "telephone_number": "830-331-9674",
            "fax_number": "830-331-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOERNE WOMEN'S CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-331-9674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "L2776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1689868648",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.