Organization Active NPI

Charlottesville Womens Services PLC

  • Obstetrics & Gynecology Physician
  • Charlottesville, VA
National Provider Identifier
1710966056
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHARLOTTESVILLE WOMENS SERVICES PLC
Practice address
1490 Pantops Mountain PL
Suite 105
Charlottesville, VA 22911-4601
Phone
(434) 244-4590
Fax
(434) 244-4592
NPI assigned
Jan 13, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Julie L Blommel, MD
Title
Owner
Phone
(434) 244-4590

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1490 Pantops Mountain PL
Suite 105
Charlottesville, VA 22911-4601

Mailing address

1490 Pantops Mountain PL
Suite 105
Charlottesville, VA 22911-4601
Phone (434) 244-4590

Other identifiers 1

IdentifierTypeStateIssuer
CH8536OtherVAMEDICARE PIN

National Provider Directory

National Provider Directory

Locations

1490 Pantops Mountain Pl
Ste 105
Charlottesvle, VA 22911
Phone (434) 654-8570

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1710966056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 PANTOPS MOUNTAIN PL",
            "address_2": "SUITE 105",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114601",
            "telephone_number": "434-244-4590",
            "fax_number": "434-244-4592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 PANTOPS MOUNTAIN PL",
            "address_2": "SUITE 105",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114601",
            "telephone_number": "434-244-4590",
            "fax_number": "434-244-4592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTESVILLE WOMENS SERVICES PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BLOMMEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-244-4590",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "CH8536",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.