Active NPI
Healthcare for Women PC
- Obstetrics & Gynecology Physician
- Roseburg, OR
National Provider Identifier
1891722161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD20198
- Legal business name
- HEALTHCARE FOR WOMEN PC
- Practice address
- 1813 W Harvard Ave
Ste 542
Roseburg, OR 97470 - Phone
- (541) 440-5222
- Fax
- (541) 440-0822
- NPI assigned
- Jun 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa D Hodges
- Title
- Office Manager
- Phone
- (541) 440-5222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD20198 | OR | Primary |
Addresses
Primary practice location
1813 W Harvard Ave
Ste 542
Roseburg, OR 97470
Mailing address
1813 W Harvard Ave
Ste 542
Roseburg, OR 97470
Phone (541) 440-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287759 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325721600000",
"number": "1891722161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE",
"address_2": "STE 542",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97470",
"telephone_number": "541-440-5222",
"fax_number": "541-440-0822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 W HARVARD AVE",
"address_2": "STE 542",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "97470",
"telephone_number": "541-440-5222",
"fax_number": "541-440-0822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHCARE FOR WOMEN PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-26",
"last_updated": "2012-01-05",
"status": "A",
"authorized_official_last_name": "HODGES",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-440-5222"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD20198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "287759",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.