Organization Active NPI

Women'S Executive Healthcare, PC

  • Obstetrics & Gynecology Physician
  • Newport News, VA
National Provider Identifier
1780353680
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S EXECUTIVE HEALTHCARE, PC
Practice address
11747 Jefferson Ave Ste 1B
Newport News, VA 23606-4401
Phone
(757) 592-9600
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Dr. Drina Anne Northam, M.D.NPI 1740470376
Title
President
Phone
(757) 592-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11747 Jefferson Ave Ste 1B
Newport News, VA 23606-4401

Mailing address

11747 Jefferson Ave Ste 1B
Newport News, VA 23606-4401
Phone (757) 592-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.weobgyn.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211001000277 VA Part B Supplier - Clinic/Group Practice 7618375809 Receives reassigned benefits from 1 practitioner
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory
Tax ID family
Women'S Executive Healthcare2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1780353680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11747 JEFFERSON AVE STE 1B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064401",
            "telephone_number": "757-592-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11747 JEFFERSON AVE STE 1B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064401",
            "telephone_number": "757-592-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S EXECUTIVE HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "NORTHAM",
        "authorized_official_first_name": "DRINA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-592-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.weobgyn.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11747 Jefferson Ave Ste 1B",
            "city": "Newport News",
            "state": "VA",
            "country_code": "US",
            "postal_code": "236064401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.