Provider Demographics
NPI:1053417915
Name:WOMEN'S HEALTH PARTNERS, LLC
Entity type:Organization
Organization Name:WOMEN'S HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:DELANE
Authorized Official - Last Name:BERGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-368-5044
Mailing Address - Street 1:PO BOX 1022
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-1022
Mailing Address - Country:US
Mailing Address - Phone:740-368-5044
Mailing Address - Fax:740-368-5283
Practice Address - Street 1:4141 NORTHHAMPTON DR
Practice Address - Street 2:SUITE 101
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7061
Practice Address - Country:US
Practice Address - Phone:740-368-5044
Practice Address - Fax:740-368-5283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051529207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHWO9339861Medicare ID - Type UnspecifiedGROUP ID NUMBER