Provider Demographics
NPI:1902842438
Name:WOMEN'S HEALTH SPECIALISTS, INC.
Entity Type:Organization
Organization Name:WOMEN'S HEALTH SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:YBANEZ-MORANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-234-8700
Mailing Address - Street 1:2101 JACOB ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-3800
Mailing Address - Country:US
Mailing Address - Phone:304-234-8700
Mailing Address - Fax:
Practice Address - Street 1:2101 JACOB ST
Practice Address - Street 2:SUITE 201
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-3800
Practice Address - Country:US
Practice Address - Phone:304-234-8700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV18916207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV4000100000Medicaid
OH2363053Medicaid
WVW09304561Medicare ID - Type UnspecifiedMEDICARE NUMBER