Provider Demographics
NPI:1689675233
Name:WOMENS ASSOCIATES PC
Entity Type:Organization
Organization Name:WOMENS ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:CMM
Authorized Official - Phone:719-473-2424
Mailing Address - Street 1:1015 E PIKES PEAK AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-3782
Mailing Address - Country:US
Mailing Address - Phone:719-473-2424
Mailing Address - Fax:719-227-1475
Practice Address - Street 1:1015 E PIKES PEAK AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-3782
Practice Address - Country:US
Practice Address - Phone:719-473-2424
Practice Address - Fax:719-227-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04009171Medicaid
COCS5708Medicare PIN