Provider Demographics
NPI:1508987629
Name:PHYSICIANS & SURGEONS FOR WOMEN, INC
Entity Type:Organization
Organization Name:PHYSICIANS & SURGEONS FOR WOMEN, INC
Other - Org Name:DAVID BILLING MD. LISA DELONG M.D RICHARD MCNEELY D.O. ANGELA JACKSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-323-7340
Mailing Address - Street 1:1821 E HIGH ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505-1225
Mailing Address - Country:US
Mailing Address - Phone:937-323-7340
Mailing Address - Fax:937-323-3363
Practice Address - Street 1:1821 E HIGH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45505-1225
Practice Address - Country:US
Practice Address - Phone:937-323-7340
Practice Address - Fax:937-323-3363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35100047207V00000X
OH34004683207V00000X
OH35064397207V00000X
OH35084279207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0782238Medicaid
OH1700883147OtherNPI FOR DAVID R. BILLING
OH0166716Medicaid
OH0314761Medicaid
OH1255338604OtherNPI FOR LISA M. DELONG
OH1841297835OtherNPI ANGELA R JACKSON MD
OH2525486Medicaid
OH1568469914OtherNPI FOR RICHARD G. MCNEEL
OH0314761Medicaid
OHA75648Medicare UPIN
OH1700883147OtherNPI FOR DAVID R. BILLING
OH1568469914OtherNPI FOR RICHARD G. MCNEEL
OHMC0665877Medicare ID - Type UnspecifiedRICHARD MCNEELY DO
OHJA4143701Medicare ID - Type UnspecifiedANGELA JACKSON MD
OH2525486Medicaid
OH0782238Medicaid