Organization Active NPI

Womens Healthcare Physicians PA

  • Obstetrics & Gynecology Physician
  • Naples, FL
National Provider Identifier
1841290384
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0025809 Issued in FL
Legal business name
WOMENS HEALTHCARE PHYSICIANS PA
Practice address
775 1St Ave N
Naples, FL 34102-6005
Phone
(239) 262-3399
Fax
(239) 261-1189
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Wallace W McLean Jr., MD
Title
President
Phone
(239) 262-3399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME0025809 FL Primary

Addresses

Primary practice location

775 1St Ave N
Naples, FL 34102-6005

Mailing address

775 1St Ave N
Naples, FL 34102-6005
Phone (239) 262-3399

Other identifiers 1

IdentifierTypeStateIssuer
256337100MedicaidFL

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
10D2008675Womens Healthcare Physicians of Naples LLC775 First Ave N, Naples, FL 34102Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Locations

8340 Collier Blvd
Ste 301
Naples, FL 34114
Phone (239) 262-3399

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1841290384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 1ST AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026005",
            "telephone_number": "239-262-3399",
            "fax_number": "239-261-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 1ST AVE N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341026005",
            "telephone_number": "239-262-3399",
            "fax_number": "239-261-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS HEALTHCARE PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "MCLEAN",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-262-3399",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0025809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256337100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.