Premier Womens Care Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35-07-7887 N Issued in OH

Legal business name

PREMIER WOMENS CARE INC

Practice address

2606 Wales Ave NW
Suite 100
Massillon, OH 44646-2340

Phone

(330) 834-4000

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Indira Nannapaneni, M.D.NPI 1780630343

Title

Physician

Phone

(330) 834-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Indira Nannapaneni, M.D.

  • Obstetrics & Gynecology Physician
  • Massillon, OH
  • NPI 1780630343
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1992750343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 WALES AVE NW",
            "address_2": "SUITE 100",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462340",
            "telephone_number": "330-834-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 WALES AVE NW",
            "address_2": "SUITE 100",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462340",
            "telephone_number": "330-834-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WOMENS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "NANNAPANENI",
        "authorized_official_first_name": "INDIRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-834-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-07-7887 N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2185291",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "PR9344061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Marie Porter
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• Promise
• Heather R Prosperi, LPCC-S
• Ronald Todd Provance, PRS, CDCA
• Providing Excellent Adult Kare Inc

• Obstetrics & Gynecology Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.