Healthcare Provider Details

I. General information

NPI: 1073601381
Provider Name (Legal Business Name): WOMENS CARE SPECIALISTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4357 FERGUSON DR STE. 210
CINCINNATI OH
45245-1689
US

IV. Provider business mailing address

PO BOX 632314
CINCINNATI OH
45263-0024
US

V. Phone/Fax

Practice location:
  • Phone: 513-732-0100
  • Fax: 513-732-9006
Mailing address:
  • Phone: 513-891-2813
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNM-06637
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-060107
License Number StateOH

VIII. Authorized Official

Name: DR. G TETTEHN MENSAH
Title or Position: PRESIDENT
Credential: MD
Phone: 513-732-0100