Organization Active NPI

Monarch Women's Wellness, P.C

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1871509612
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MONARCH WOMEN'S WELLNESS, P.C
Practice address
3802 Poplar Hill Rd
Suite C
Chesapeake, VA 23321-5531
Phone
(757) 673-8383
Fax
(757) 483-9350
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Dr. Rebecca B Thibodeau, MD
Title
President
Phone
(757) 673-8383

Specialties & licenses 1

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

Addresses

Primary practice location

3802 Poplar Hill Rd
Suite C
Chesapeake, VA 23321-5531

Mailing address

3802 Poplar Hill Rd
Suite C
Chesapeake, VA 23321-5531
Phone (757) 673-8383

Other identifiers 1

IdentifierTypeStateIssuer
1871509612MedicaidVA

Other names 1

  • Churchland Obstetrics and Gynecology, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

4868 Bridge Rd
Ste 300
Suffolk, VA 23435
Phone (757) 483-7100

Practitioners & affiliated clinicians

Practitioners 1

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1871509612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 POPLAR HILL RD",
            "address_2": "SUITE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215531",
            "telephone_number": "757-673-8383",
            "fax_number": "757-483-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 POPLAR HILL RD",
            "address_2": "SUITE C",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215531",
            "telephone_number": "757-673-8383",
            "fax_number": "757-483-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH WOMEN'S WELLNESS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "THIBODEAU",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-673-8383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871509612",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Churchland Obstetrics and Gynecology, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.