Provider Demographics
NPI:1720103484
Name:THE WOMEN'S HEALTH GROUP PC
Entity Type:Organization
Organization Name:THE WOMEN'S HEALTH GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:VOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-280-2229
Mailing Address - Street 1:9195 GRANT STREET
Mailing Address - Street 2:SUITE #410
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-4388
Mailing Address - Country:US
Mailing Address - Phone:303-280-2229
Mailing Address - Fax:303-991-1721
Practice Address - Street 1:9195 GRANT STREET
Practice Address - Street 2:SUITE #410
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80229-4388
Practice Address - Country:US
Practice Address - Phone:303-280-2229
Practice Address - Fax:303-991-1721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO76552756Medicaid
297208Medicare ID - Type Unspecified