Provider Demographics
NPI:1073601381
Name:WOMENS CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:WOMENS CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:G
Authorized Official - Middle Name:TETTEHN
Authorized Official - Last Name:MENSAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-732-0100
Mailing Address - Street 1:PO BOX 632314
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0024
Mailing Address - Country:US
Mailing Address - Phone:513-891-2813
Mailing Address - Fax:513-793-1032
Practice Address - Street 1:4357 FERGUSON DR
Practice Address - Street 2:STE. 210
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1689
Practice Address - Country:US
Practice Address - Phone:513-732-0100
Practice Address - Fax:513-732-9006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-060107207V00000X
OHNM-06637367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9328551Medicare PIN