NPIMap

Organization Active NPI

Women's Care of Clermont PA

  • Specialist
  • Clermont, FL
National Provider Identifier
1760596431
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME81410 Issued in FL
Legal business name
WOMEN'S CARE OF CLERMONT PA
Practice address
1725 E Highway 50
Suite B
Clermont, FL 34711-5188
Phone
(352) 243-6686
Fax
(352) 243-2414
NPI assigned
Aug 18, 2006
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Shelley Coleman Glover, MDNPI 1114969839
Title
Owner
Phone
(352) 243-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME81410 FL Primary

Addresses

Primary practice location

1725 E Highway 50
Suite B
Clermont, FL 34711-5188

Mailing address

1725 E Highway 50
Suite B
Clermont, FL 34711-5188
Phone (352) 243-6686

National Provider Directory

National Provider Directory

Locations

1725 E Highway 50
Ste B
Clermont, FL 34711
Phone (352) 243-6686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1760596431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 E HIGHWAY 50",
            "address_2": "SUITE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115188",
            "telephone_number": "352-243-6686",
            "fax_number": "352-243-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 E HIGHWAY 50",
            "address_2": "SUITE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347115188",
            "telephone_number": "352-243-6686",
            "fax_number": "352-243-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CARE OF CLERMONT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-243-6686",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME81410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.