Provider Demographics
NPI:1194128355
Name:FALMOUTH WOMENS HEALTH PC
Entity type:Organization
Organization Name:FALMOUTH WOMENS HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HEYWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:508-681-5081
Mailing Address - Street 1:133 FALMOUTH RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649-2611
Mailing Address - Country:US
Mailing Address - Phone:508-681-5081
Mailing Address - Fax:877-669-1746
Practice Address - Street 1:133 FALMOUTH RD STE 2A
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2611
Practice Address - Country:US
Practice Address - Phone:508-681-5081
Practice Address - Fax:877-669-1746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA247143207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
002291301OtherMEDICARE PTAN
1336118066OtherNPI
MA1194128355OtherGROUP NPI