NPIMap

Organization Active NPI

Physicians for Women PC

  • Obstetrics & Gynecology Physician
  • Valparaiso, IN
National Provider Identifier
1912036161
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
50004100A Issued in IN
Legal business name
PHYSICIANS FOR WOMEN PC
Practice address
880 Eastport Centre Dr
Suite 200
Valparaiso, IN 46383-2909
Phone
(219) 464-0409
Fax
(219) 464-2376
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Christopher M Wirsing, DONPI 1104838309
Title
President
Phone
(219) 464-0409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 50004100A IN Primary

Addresses

Primary practice location

880 Eastport Centre Dr
Suite 200
Valparaiso, IN 46383-2909

Mailing address

880 Eastport Centre Dr
Suite 200
Valparaiso, IN 46383-2909
Phone (219) 464-0409

Other identifiers 2

IdentifierTypeStateIssuer
100189860AMedicaidIN
50004100AOtherINMEDICAL CORPORATION

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1912036161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 EASTPORT CENTRE DR",
            "address_2": "SUITE 200",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832909",
            "telephone_number": "219-464-0409",
            "fax_number": "219-464-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 EASTPORT CENTRE DR",
            "address_2": "SUITE 200",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832909",
            "telephone_number": "219-464-0409",
            "fax_number": "219-464-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS FOR WOMEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "WIRSING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-0409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "50004100A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100189860A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CORPORATION",
            "identifier": "50004100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.