Healthcare Provider Details
I. General information
NPI: 1831110022
Provider Name (Legal Business Name): WOMEN'S HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9119 W 74TH ST SUITE 300
SHAWNEE MISSION KS
66204-2236
US
IV. Provider business mailing address
9119 W 74TH ST SUITE 300
SHAWNEE MISSION KS
66204-2236
US
V. Phone/Fax
- Phone: 913-677-3113
- Fax: 913-677-4514
- Phone: 913-677-3113
- Fax: 913-677-4514
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0427269 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0428790 |
| License Number State | KS |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0430641 |
| License Number State | KS |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0530216 |
| License Number State | KS |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0431520 |
| License Number State | KS |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 1501026 |
| License Number State | KS |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 1500569 |
| License Number State | KS |
| # 8 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 0424183 |
| License Number State | KS |
VIII. Authorized Official
Name:
EVELINA
SWARTZMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 913-677-3113