Healthcare Provider Details
I. General information
NPI: 1881877041
Provider Name (Legal Business Name): WOMENS MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/11/2007
Last Update Date: 02/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 W 10TH ST SUITE 101
HOBART IN
46342-5990
US
IV. Provider business mailing address
101 W 61ST AVE
HOBART IN
46342-6449
US
V. Phone/Fax
- Phone: 219-947-1159
- Fax: 219-947-9359
- Phone: 219-947-1159
- Fax: 219-947-9359
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VG0400X |
| Taxonomy | Gynecology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208800000X |
| Taxonomy | Urology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
NAVIN
V
BAROT
Title or Position: REGISTERED AGENT
Credential: MD
Phone: 219-947-3030