Provider Demographics
NPI:1548287535
Name:WOMEN'S HEALTH SPECIALIST, INC
Entity type:Organization
Organization Name:WOMEN'S HEALTH SPECIALIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:918-542-9900
Mailing Address - Street 1:310 2ND AVE SW
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-6743
Mailing Address - Country:US
Mailing Address - Phone:918-542-9900
Mailing Address - Fax:918-542-9920
Practice Address - Street 1:310 2ND AVE SW
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-6743
Practice Address - Country:US
Practice Address - Phone:918-542-9900
Practice Address - Fax:918-542-9920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Not Answered363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK44768788704OtherBCBS