Healthcare Provider Details

I. General information

NPI: 1013184555
Provider Name (Legal Business Name): WOMENS MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2590 MORTHLAND DR
VALPARAISO IN
46385-6701
US

IV. Provider business mailing address

101 W 61ST AVE
HOBART IN
46342-6486
US

V. Phone/Fax

Practice location:
  • Phone: 219-531-0200
  • Fax: 219-531-0045
Mailing address:
  • Phone: 219-945-4965
  • Fax: 219-947-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01053230A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number02000488A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number72000055A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number02001822A
License Number StateIN

VIII. Authorized Official

Name: DR. NAVIN BAROT
Title or Position: DIRECTOR
Credential: M.D.
Phone: 219-947-3030