NPIMap

Organization Active NPI

Sylva Women'S Clinic PA

  • Obstetrics & Gynecology Physician
  • Sylva, NY
National Provider Identifier
1770535718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SYLVA WOMEN'S CLINIC PA
Practice address
111 Central St
Sylva, NY 28779
Phone
(828) 586-4096
Fax
(828) 586-1064
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gwang Soo Han, MD
Title
President
Phone
(828) 586-4096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

111 Central St
Sylva, NY 28779

Mailing address

111 Central St
Sylva, NY 28779
Phone (828) 586-4096

Other identifiers 2

IdentifierTypeStateIssuer
89016AVMedicaidNC
016AVOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

111 Central St
Sylva, NC 28779
Phone (828) 586-4096

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770535718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CENTRAL ST",
            "city": "SYLVA",
            "state": "NY",
            "postal_code": "28779",
            "telephone_number": "828-586-4096",
            "fax_number": "828-586-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL ST",
            "city": "SYLVA",
            "state": "NY",
            "postal_code": "28779",
            "telephone_number": "828-586-4096",
            "fax_number": "828-586-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVA WOMEN'S CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "GWANG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-586-4096",
        "authorized_official_credential": "MD"
    },
    "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": "89016AV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "016AV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.