Womens Health Advantage

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WOMENS HEALTH ADVANTAGE

Practice address

7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Phone

(260) 432-4400

Fax

(260) 432-2723

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Roger E Sporre, MD

Title

President

Phone

(260) 432-4400

Specialties & licenses 1

Addresses

Tax ID family

Women'S Health Advantage3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Women'S Health Advantage

  • Obstetrics & Gynecology Physician
  • Fort Wayne, IN
  • NPI 1124007158
  NPD tax ID
• Women'S Health Advantage

  • Durable Medical Equipment & Medical Supplies
  • Fort Wayne, IN
  • NPI 1205056561
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.576

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831177906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7635 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "260-432-4400",
            "fax_number": "260-432-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "260-432-4400",
            "fax_number": "260-432-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTH ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPORRE",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-432-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Wolter, MT-BC
• Women Caring for Women
• Women'S Bureau
• Women'S Health Advantage
• Women'S Health Advantage
• Lora Wonderly, DMD
• Tricia Wonderly
• Briana Marie Wood, LAT, ATC
• Heather Nicole Wood, NP
• Kelly Michelle Wood, COTA

• Obstetrics & Gynecology Physician in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Obstetrics & Gynecology Physician in Indiana

• 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.