Organization Active NPI

Women's Center Healthcare Physicians, PLLC

  • Obstetrics & Gynecology Physician
  • Lincoln Park, MI
National Provider Identifier
1790950186
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301063985 Issued in MI
Legal business name
WOMEN'S CENTER HEALTHCARE PHYSICIANS, PLLC
Practice address
25050 Outer Dr
Lincoln Park, MI 48146-1297
Phone
(313) 388-4247
Fax
(313) 388-4827
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Charlene Perdue
Title
Biller/Manager
Phone
(313) 388-4247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301063985 MI Primary

Addresses

Primary practice location

25050 Outer Dr
Lincoln Park, MI 48146-1297

Mailing address

25050 Outer Dr
Lincoln Park, MI 48146-1297
Phone (313) 388-4247

National Provider Directory

National Provider Directory

Locations

23400 Michigan Ave
Dearborn, MI 48124
Phone (313) 274-5322

25050 Outer Dr
Lincoln Park, MI 48146
Phone (313) 388-4247

25050 Outer Dr
Ste 10
Lincoln Park, MI 48146
Phone (313) 388-4247

25050 Outer Dr
Ste 102
Lincoln Park, MI 48146
Phone (313) 388-4247

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1790950186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461297",
            "telephone_number": "313-388-4247",
            "fax_number": "313-388-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461297",
            "telephone_number": "313-388-4247",
            "fax_number": "313-388-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CENTER HEALTHCARE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "BILLER/MANAGER",
        "authorized_official_telephone_number": "313-388-4247"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301063985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.