Organization Active NPI

North Pulaski Womens Clinic

  • Gynecology Physician
  • Sherwood, AR
National Provider Identifier
1932289998
Registry record updated Sep 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
NORTH PULASKI WOMENS CLINIC
Practice address
2402 Wildwood Ave
Suite 402
Sherwood, AR 72120
Phone
(501) 992-1910
Fax
(501) 992-1915
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2014

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

Authorized official

Name
Chester Schirmer
Title
Office Manager
Phone
(501) 992-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

2402 Wildwood Ave
Suite 402
Sherwood, AR 72120

Mailing address

2402 Wildwood Ave
Suite 402
Sherwood, AR 72120
Phone (501) 992-1910

Other identifiers 1

IdentifierTypeStateIssuer
121353002MedicaidAR

Other names 1

  • Horizons for Women Doing business as

National Provider Directory

National Provider Directory

Locations

2402 Wildwood Ave
Ste 402
Sherwood, AR 72120
Phone (501) 992-1910

Practitioners & affiliated clinicians

Practitioners 2

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": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1932289998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 WILDWOOD AVE",
            "address_2": "SUITE 402",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "501-992-1910",
            "fax_number": "501-992-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 WILDWOOD AVE",
            "address_2": "SUITE 402",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "72120",
            "telephone_number": "501-992-1910",
            "fax_number": "501-992-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PULASKI WOMENS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "SCHIRMER",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-992-1910"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121353002",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizons for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.