Organization Active NPI

Willowbrook Womens Center

  • Specialist
  • Manchester, KY
National Provider Identifier
1801855150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
39787 Issued in KY
Legal business name
WILLOWBROOK WOMENS CENTER
Practice address
94 Marie Langdon Dr
Ste 4
Manchester, KY 40962-6353
Phone
(606) 598-5104
Fax
(606) 598-1040
NPI assigned
Mar 23, 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
Mr. Charles E Whiting, M.D.
Title
OB/GYN
Phone
(606) 598-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 39787 KY Primary

Addresses

Primary practice location

94 Marie Langdon Dr
Ste 4
Manchester, KY 40962-6353

Mailing address

94 Marie Langdon Dr
Ste 4
Manchester, KY 40962-6353
Phone (606) 598-5104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801855150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MARIE LANGDON DR",
            "address_2": "STE 4",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626353",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MARIE LANGDON DR",
            "address_2": "STE 4",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409626353",
            "telephone_number": "606-598-5104",
            "fax_number": "606-598-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK WOMENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "606-598-5104",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "39787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, KY

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.