Provider Demographics
NPI:1467404517
Name:FOCUSED WOMENS HEALTHCARE LLC
Entity Type:Organization
Organization Name:FOCUSED WOMENS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:GIST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:931-270-0023
Mailing Address - Street 1:1090 N ELLINGTON PKWY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LEWISBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37091-2227
Mailing Address - Country:US
Mailing Address - Phone:931-270-0023
Mailing Address - Fax:931-270-0026
Practice Address - Street 1:1090 N ELLINGTON PKWY
Practice Address - Street 2:SUITE 101
Practice Address - City:LEWISBURG
Practice Address - State:TN
Practice Address - Zip Code:37091-2227
Practice Address - Country:US
Practice Address - Phone:931-270-0023
Practice Address - Fax:931-270-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41171207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00342909OtherPALMETTO GBA
TNP00342909OtherPALMETTO GBA
TN3338968Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
TN3734050Medicare PIN