Provider Type Icon

WISE WOMAN OB/GYN PC NPI 1649221367


NPI Information

NPI: 1649221367
Provider Name: WISE WOMAN OB/GYN, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
172 CLINTON ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-6262
Get Directions

WISE WOMAN OB/GYN, PC is an obstetrics gynecology in Watertown, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WISE WOMAN OB/GYN, PC NPI is 1649221367. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

172 CLINTON ST
WATERTOWN, NY
ZIP 13601-602
Phone: (315) 782-6262
Fax: (315) 782-5181

The provider's authorized official is Nanci L. Hawkins .
The authorized official title is President and has the following contact phone number (315) 782-6262.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 5/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LW0102XNurse PractitionerWomen's HealthNo
2367A00000XAdvanced Practice MidwifeNo
3207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DF2175MEDICARE PINNEW YORK
2BA0868MEDICARE PINNEW YORK
302751077MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.