W H Houseworth, MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

W H HOUSEWORTH, MD PC

Practice address

102 W Buchanan Ave
Charleston, IL 61920-2522

Phone

(217) 345-3830

Fax

(217) 345-1018

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Crystal R Holley

Title

Biller

Phone

(217) 345-3830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1689936874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W BUCHANAN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202522",
            "telephone_number": "217-345-3830",
            "fax_number": "217-345-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W BUCHANAN AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202522",
            "telephone_number": "217-345-3830",
            "fax_number": "217-345-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W H HOUSEWORTH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "217-345-3830",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062033",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Carle Foundation Hospital (Carle Therapy Services)
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• Beverly J. Voris, LCPC
• Danielle Waggoner, RPH
• Wal-Mart Stores, Inc (Vision Center 30-0612)
• Walgreen Co (Walgreens #11542)
• Walgreen Co. (Walgreens #11542)
• Kristen Marie Walk, APRN

• Obstetrics & Gynecology Physician in Charleston, IL
• Providers in Charleston, IL by specialty
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.