Organization Active NPI

Philadelphia Womens Health & Wellness LLC

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1811517741
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
PHILADELPHIA WOMENS HEALTH & WELLNESS LLC
Practice address
3300 Henry Ave Ste 101
Philadelphia, PA 19129-1146
Phone
(267) 335-3152
Fax
(215) 501-5912
NPI assigned
Apr 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Victoria S Myers, MDNPI 1689680274
Title
Owner
Phone
(267) 335-3152

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
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

3300 Henry Ave Ste 101
Philadelphia, PA 19129-1146

Mailing address

3300 Henry Ave Ste 101
Philadelphia, PA 19129-1146
Phone (267) 335-3152

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200727001917 PA Part B Supplier - Clinic/Group Practice 0648694414 Receives reassigned benefits from 3 practitioners
Practice locations: Philadelphia, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2213234Philadelphia Womens Health & Wellness LLC3300 Henry Avenue, Ste 101, Philadelphia, PA 19129Provider-performed microscopyFeb 10, 2027

National Provider Directory

National Provider Directory

Locations

3300 Henry Ave
Ste 101
Philadelphia, PA 19129
Phone (215) 205-8884

Practitioners & affiliated clinicians

Practitioners 3

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": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1811517741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291146",
            "telephone_number": "267-335-3152",
            "fax_number": "215-501-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE STE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291146",
            "telephone_number": "267-335-3152",
            "fax_number": "215-501-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA WOMENS HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-335-3152",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.