Provider Demographics
NPI:1386776102
Name:WOMENS HEALTHCARE OF ROGERS CO INC
Entity type:Organization
Organization Name:WOMENS HEALTHCARE OF ROGERS CO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:LEANN
Authorized Official - Last Name:STEELMON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:918-341-8700
Mailing Address - Street 1:P.O. BOX 3097
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74018
Mailing Address - Country:US
Mailing Address - Phone:918-341-8700
Mailing Address - Fax:918-341-8753
Practice Address - Street 1:601 E BLUE STARR DRIVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017
Practice Address - Country:US
Practice Address - Phone:918-341-8700
Practice Address - Fax:918-341-8753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3790207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200012620AMedicaid
OK200012620AMedicaid
OK231328305Medicare PIN
OK231328305Medicare UPIN