NPIMap

Organization Active NPI

PWC II

  • Specialist
  • Prescott, AZ
National Provider Identifier
1932283686
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
28766 Issued in AZ
Legal business name
PWC II
Practice address
919 12TH PL
Suite 1
Prescott, AZ 86305-1433
Phone
(928) 778-4300
Fax
(928) 771-0920
NPI assigned
Oct 25, 2006
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. Richard M Ohanesian, M.D.NPI 1699773978
Title
Partner
Phone
(928) 778-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28766 AZ Primary

Addresses

Primary practice location

919 12TH PL
Suite 1
Prescott, AZ 86305-1433

Mailing address

919 12TH PL
Suite 1
Prescott, AZ 86305-1433
Phone (928) 778-4300

Other identifiers 1

IdentifierTypeStateIssuer
151770MedicaidAZ

Other names 1

  • Prescott Women's Clinic Other name

National Provider Directory

National Provider Directory

Locations

919 12th Pl
Ste 1
Prescott, AZ 86305
Phone (928) 778-4300

7600 E Florentine Rd
Ste 100
Prescott Valley, AZ 86314

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1932283686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 12TH PL",
            "address_2": "SUITE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-778-4300",
            "fax_number": "928-771-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 12TH PL",
            "address_2": "SUITE 1",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051433",
            "telephone_number": "928-778-4300",
            "fax_number": "928-771-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PWC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "OHANESIAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "928-778-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "28766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151770",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescott Women's Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.