Deidra Women's Medical Health Services, PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

210392-1 Issued in NY

Legal business name

DEIDRA WOMEN'S MEDICAL HEALTH SERVICES, PC

Practice address

609 Central Ave
Suite 1
Dunkirk, NY 14048-2538

Phone

(716) 366-5222

Fax

(716) 366-5224

NPI assigned

Sep 6, 2007

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Collins O. Osula, M.D.,F.A.C.O.G.

Title

M.D.

Phone

(716) 366-5222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1942495635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482538",
            "telephone_number": "716-366-5222",
            "fax_number": "716-366-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CENTRAL AVE",
            "address_2": "SUITE 1",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "140482538",
            "telephone_number": "716-366-5222",
            "fax_number": "716-366-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIDRA WOMEN'S MEDICAL HEALTH SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "OSULA",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "716-366-5222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,F.A.C.O.G."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "210392-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Dunkirk, NY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.