Organization Active NPI

Northeastern Wisconsin Womens Health Care Associates SC

  • Obstetrics & Gynecology Physician
  • Oconto Falls, WI
National Provider Identifier
1831246487
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50013 Issued in WI
Legal business name
NORTHEASTERN WISCONSIN WOMENS HEALTH CARE ASSOCIATES SC
Practice address
835 S Main St
Suite 2
Oconto Falls, WI 54154-1282
Phone
(920) 846-9995
Fax
(920) 846-8031
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Judith E Bowers, DO
Title
President
Phone
(920) 846-9995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 50013 WI Primary

Addresses

Primary practice location

835 S Main St
Suite 2
Oconto Falls, WI 54154-1282

Mailing address

835 S Main St
Suite 2
Oconto Falls, WI 54154-1282
Phone (920) 846-9995

Other identifiers 2

IdentifierTypeStateIssuer
1750384913OtherWINPI PATERSON
1518941418OtherWINPI BOWERS

National Provider Directory

National Provider Directory

Locations

835 S Main St
Ste 2
Oconto Falls, WI 54154
Phone (920) 846-3440

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831246487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541282",
            "telephone_number": "920-846-9995",
            "fax_number": "920-846-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S MAIN ST",
            "address_2": "SUITE 2",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541282",
            "telephone_number": "920-846-9995",
            "fax_number": "920-846-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN WISCONSIN WOMENS HEALTH CARE ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-846-9995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "50013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PATERSON",
            "identifier": "1750384913",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BOWERS",
            "identifier": "1518941418",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconto Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.