Provider Demographics
NPI:1922150192
Name:WOMENS HEALTH SPECIALISTS OF YUMA PLLC
Entity Type:Organization
Organization Name:WOMENS HEALTH SPECIALISTS OF YUMA PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:VINING
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:928-783-3050
Mailing Address - Street 1:2911 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8000
Mailing Address - Country:US
Mailing Address - Phone:928-783-3050
Mailing Address - Fax:928-783-7783
Practice Address - Street 1:2911 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8000
Practice Address - Country:US
Practice Address - Phone:928-783-3050
Practice Address - Fax:928-783-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ056847Medicaid
AZ223694Medicaid
AZ076530Medicaid
AZ220624Medicaid
AZ953994Medicaid
AZ132902Medicaid
AZ229030Medicaid
AZ076530Medicaid