Provider Demographics
NPI:1376827352
Name:WOMENS HEALTH SPECIALISTS OF CARLISLE LLC
Entity Type:Organization
Organization Name:WOMENS HEALTH SPECIALISTS OF CARLISLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:GINGRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-598-3131
Mailing Address - Street 1:5811 PELICAN BAY BLVD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-2733
Mailing Address - Country:US
Mailing Address - Phone:239-598-3131
Mailing Address - Fax:239-592-0438
Practice Address - Street 1:19 SPRINT DR
Practice Address - Street 2:SUITE 2
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7027
Practice Address - Country:US
Practice Address - Phone:717-218-8888
Practice Address - Fax:717-249-7817
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH MANAGEMENT ASSOCIATES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-07
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty