Provider Demographics
NPI:1265511737
Name:ASSOCIATES FOR WOMEN'S HEALTH
Entity Type:Organization
Organization Name:ASSOCIATES FOR WOMEN'S HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ASDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-859-6626
Mailing Address - Street 1:533 E COUNTY LINE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1048
Mailing Address - Country:US
Mailing Address - Phone:317-859-6626
Mailing Address - Fax:317-887-4691
Practice Address - Street 1:533 E COUNTY LINE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1048
Practice Address - Country:US
Practice Address - Phone:317-859-6626
Practice Address - Fax:317-887-4691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200413310AMedicaid
IN197210Medicare PIN