Provider Demographics
NPI:1043264088
Name:WINCHESTER WOMANCARE PC
Entity Type:Organization
Organization Name:WINCHESTER WOMANCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:AVERILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-535-1600
Mailing Address - Street 1:212 LINDEN DR
Mailing Address - Street 2:SUITE 154
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2820
Mailing Address - Country:US
Mailing Address - Phone:540-535-1600
Mailing Address - Fax:540-535-0481
Practice Address - Street 1:212 LINDEN DR
Practice Address - Street 2:SUITE 154
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2820
Practice Address - Country:US
Practice Address - Phone:540-535-1600
Practice Address - Fax:540-535-0481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID