Active NPI
Winfield OB/GYN
- Obstetrics & Gynecology Physician
- Winfield, AL
National Provider Identifier
1790720910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12079
- Legal business name
- WINFIELD OB/GYN
- Practice address
- 191 Caraway Dr
Suite A1
Winfield, AL 35594-5067 - Phone
- (205) 487-1203
- Fax
- (205) 487-1205
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Demie P Weatherly
- Title
- Office Manager
- Phone
- (205) 487-1203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12079 | AL | Primary |
Addresses
Primary practice location
191 Caraway Dr
Suite A1
Winfield, AL 35594-5067
Mailing address
191 Caraway Dr
Suite A1
Winfield, AL 35594-5067
Phone (205) 487-1203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51520459 | Other | AL | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
191 Carraway Dr
Ste A1
Winfield, AL 35594
Phone (205) 487-1203
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/4b5a41d6-4f6b-4c64-a2f5-0ec9374f0afa/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Winfield, AL
- NPI 1013951078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790720910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 CARAWAY DR",
"address_2": "SUITE A1",
"city": "WINFIELD",
"state": "AL",
"postal_code": "355945067",
"telephone_number": "205-487-1203",
"fax_number": "205-487-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 CARAWAY DR",
"address_2": "SUITE A1",
"city": "WINFIELD",
"state": "AL",
"postal_code": "355945067",
"telephone_number": "205-487-1203",
"fax_number": "205-487-1205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINFIELD OB/GYN",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WEATHERLY",
"authorized_official_first_name": "DEMIE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "205-487-1203",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "12079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51520459",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winfield, AL
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.