Provider Demographics
NPI:1255393005
Name:WOMENS HEALTH ASSOCIATES
Entity type:Organization
Organization Name:WOMENS HEALTH ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ENRICO
Authorized Official - Middle Name:
Authorized Official - Last Name:ASCANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-886-7456
Mailing Address - Street 1:PO BOX 168
Mailing Address - Street 2:
Mailing Address - City:AUXIER
Mailing Address - State:KY
Mailing Address - Zip Code:41602-0168
Mailing Address - Country:US
Mailing Address - Phone:606-886-7456
Mailing Address - Fax:606-886-7788
Practice Address - Street 1:5000 KY ROUTE 321 STE 2129
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-9113
Practice Address - Country:US
Practice Address - Phone:606-886-7456
Practice Address - Fax:606-886-7788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY33775207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000358558OtherANTHEM BLUE CROSS
KY65943078Medicaid
KY9565Medicare ID - Type Unspecified