Well Woman Clinic, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

012979 Issued in ME

Legal business name

WELL WOMAN CLINIC, PLLC

Practice address

174 S Freeport Rd
Suite 1a
Freeport, ME 04032-6145

Phone

(207) 865-7088

NPI assigned

Jun 4, 2009

Organization subpart

No

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

Authorized official

Name

Susan M Corbett

Title

Billing Representative

Phone

(207) 497-2996

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1912133943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "address_2": "STE. 1A",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-497-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 S FREEPORT RD",
            "address_2": "SUITE 1A",
            "city": "FREEPORT",
            "state": "ME",
            "postal_code": "040326145",
            "telephone_number": "207-865-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL WOMAN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "207-497-2996"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "012979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1912133943",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "434287100",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth E Walker, MA
• Meredith Wall, PA-C
• Gina Warren, NTP, RWP
• Corie Washow
• Tina Weaver, PT
• Joseph H Wetherhold, DMD
• Jessica Whitten, LCPC
• Lorien Courtenay Snellings Whitten, LCPC
• Katrina Wittine, M.S., BCBA
• Linda F Wolfe, FNP

• Obstetrics & Gynecology Physician in Freeport, ME
• Providers in Freeport, ME by specialty
• Obstetrics & Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.