Organization Active NPI

The Woman'S Wellness Center, P.C.

  • Urology Physician
  • Portage, IN
National Provider Identifier
1992870398
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
50002680A Issued in IN
Legal business name
THE WOMAN'S WELLNESS CENTER, P.C.
Practice address
3630 Willowcreek Road
Suite 10
Portage, IN 46368-5075
Phone
(219) 759-1389
Fax
(219) 759-3426
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Jeffrey Yessenow, M.D.
Title
President
Phone
(219) 922-4200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 50002680A IN
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 50002680A IN
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 50002680A IN Primary

Addresses

Primary practice location

3630 Willowcreek Road
Suite 10
Portage, IN 46368-5075

Mailing address

9136 Columbia Avenue
Munster, IN 46321-2907
Phone (219) 836-0000

National Provider Directory

National Provider Directory
Tax ID family
The Woman'S Wellness Center PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3630 Willowcreek Rd
Ste 10
Portage, IN 46368
Phone (219) 759-1389

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992870398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9136 COLUMBIA AVENUE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212907",
            "telephone_number": "219-836-0000",
            "fax_number": "219-836-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 WILLOWCREEK ROAD",
            "address_2": "SUITE 10",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685075",
            "telephone_number": "219-759-1389",
            "fax_number": "219-759-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMAN'S WELLNESS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "YESSENOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-922-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "50002680A",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "50002680A",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "IN",
            "license": "50002680A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.