Women'S Health Center & Primary Care

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

DO1498 Issued in TN

Legal business name

WOMEN'S HEALTH CENTER & PRIMARY CARE

Practice address

1610 Tazewell Rd
Ste 202
Tazewell, TN 37879-3600

Phone

(423) 626-2410

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Scott Matson, D.O.NPI 1306896162

Title

Owner

Phone

(423) 626-2410

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Womens Health Center TN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Womens Health Center TN

  • Obstetrics & Gynecology Physician
  • Tazewell, TN
  • NPI 1942567326
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Matson, DO

  • Obstetrics & Gynecology Physician
  • Tazewell, TN
  • NPI 1306896162
  NPD Authorized official

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1720490048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 TAZEWELL RD",
            "address_2": "STE 202",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793600",
            "telephone_number": "423-626-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 TAZEWELL RD",
            "address_2": "STE 202",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793600",
            "telephone_number": "423-626-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH CENTER & PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "MATSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-626-2410",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "DO1498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunan Vongkasemsiri, M.D.
• Trecinda Wallace, SPEECH PATHOLOGIST
• We Care Physical Therapy LLC
• Justin Wade Widner, DO
• Robert J Wilmoth, MD
• Womens Health Center TN
• Lillia Afton Zellers, APRN-C

• Obstetrics & Gynecology Physician in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.