Organization Active NPI

Muncie Womens Center PC

  • Medical Specialty Clinic/Center
  • Muncie, IN
National Provider Identifier
1811184989
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
01039273A Issued in IN
Legal business name
MUNCIE WOMENS CENTER PC
Practice address
2501 W Jackson St
Muncie, IN 47303-4632
Phone
(765) 286-2000
Fax
(765) 213-3029
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Denise Swanson Reeves, M.D.
Title
President
Phone
(765) 286-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 01039273A IN Primary

Addresses

Primary practice location

2501 W Jackson St
Muncie, IN 47303-4632

Mailing address

2501 W Jackson St
Muncie, IN 47303-4632
Phone (765) 286-2000

Other identifiers 1

IdentifierTypeStateIssuer
200350480AMedicaidIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1811184989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034632",
            "telephone_number": "765-286-2000",
            "fax_number": "765-213-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034632",
            "telephone_number": "765-286-2000",
            "fax_number": "765-213-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNCIE WOMENS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "SWANSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-286-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IN",
            "license": "01039273A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350480A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.