Provider Demographics
NPI:1881874329
Name:WOMEN'S WELLNESS HEALTH NETWORK
Entity type:Organization
Organization Name:WOMEN'S WELLNESS HEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAVIN
Authorized Official - Middle Name:V
Authorized Official - Last Name:BAROT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-947-3030
Mailing Address - Street 1:101 W 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-6486
Mailing Address - Country:US
Mailing Address - Phone:219-947-3030
Mailing Address - Fax:219-947-3838
Practice Address - Street 1:9136 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2907
Practice Address - Country:US
Practice Address - Phone:219-836-0000
Practice Address - Fax:219-836-2788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
INC25250Medicare UPIN
INH76804Medicare UPIN
INI17051Medicare UPIN
INP34049Medicare UPIN
ING58736Medicare UPIN
ING47010Medicare UPIN
INB03674Medicare UPIN
INB28849Medicare UPIN
IND94838Medicare UPIN
INB29094Medicare UPIN
INH26593Medicare UPIN