Southwest Womens Health P a

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

83-111 Issued in NM

Legal business name

SOUTHWEST WOMENS HEALTH P A

Practice address

883 Lead Ave SE
Ste a
Albuquerque, NM 87102-3644

Phone

(505) 247-8820

Fax

(505) 246-9421

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Rebecca J Shoden, M.D.

Title

Owner

Phone

(505) 247-8820

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rebecca J Shoden MD Former legal business name

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1932269073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-247-8820",
            "fax_number": "505-246-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 LEAD AVE SE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023644",
            "telephone_number": "505-247-8820",
            "fax_number": "505-246-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WOMENS HEALTH P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "SHODEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-247-8820",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "83-111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26963",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca J Shoden MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Southwest Therapies LLC
• Southwest Urology Associates PC
• Southwest Urology Specialists LLC
• Southwest Women'S Oncology Inc.
• Southwest Women'S Sonography, LLC
• Southwestern Provider Services LLC
• Southwestern Women'S Options, LLC
• Southwestern Women'S Options, LLC
• Sovereign Self, LLC
• Catherine B Sovereign, RDH, RD

• Gynecology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.