SWEETWATER WOMEN'S CLINIC (NPI# 1285603183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285603183 |
| Entity Type | Organization |
| Organization Name | SWEETWATER WOMEN'S CLINIC |
| Practice Address |
301 Jenny George Ln Sweetwater TX 79556-7152 |
| Practice Telephone | 3252351600 |
| Practice Fax Number | 3252355975 |
| Mailing Telephone | 3252351600 |
| Mailing Fax Number | 3252355975 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MICHAEL TIMOTHY GLOVER (OWNER) |
| Authorized Official Telephone | 3252351600 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS BLUE SHIELD | 0097MY | 01 |
| TX | 1749731-01 | 05 |
| Street Address |
301 JENNY GEORGE LN |
| City | SWEETWATER |
| State | TX |
| Zip Code | 79556-7152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912539826 | Kalie Rae Simpson | Nurse Practitioner | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2020-02-08 |
| 1649780735 | Erica Blace Garcia | Nurse Practitioner | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2017-10-03 |
| 1134485550 | Discovery Medical Network Sweetwater LLC | Obstetrics & Gynecology | 301 Jenny George Ln, Building B, Sweetwater, TX 79556-7152 | 2012-04-10 |
| 1972880615 | Tim Jones Md Pllc | Family Medicine | 301 Jenny George Ln, Suite 1, Sweetwater, TX 79556-7152 | 2011-11-09 |
| 1700172426 | Jennifer Gail Sinclair Liedtke | Family Medicine | 301 Jenny George Ln, Suite B6, Sweetwater, TX 79556-7152 | 2011-06-21 |
| 1558654087 | April Enard | Family Medicine | 301 Jenny George Ln, Building B, Sweetwater, TX 79556-7152 | 2011-05-17 |
| 1720315393 | Walthall Surgical Center Pllc | Surgery | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2009-11-03 |
| 1699009001 | Marcie Dianne Lusk | Nurse Practitioner | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2009-10-01 |
| 1801080262 | L.r. Moses, Do, Association | Surgery | 301 Jenny George Ln, Ste 6, Sweetwater, TX 79556-7152 | 2007-08-29 |
| 1508939653 | Ronnie W Dennis Md, PC | Obstetrics & Gynecology | 301 Jenny George Ln, Ste 5, Sweetwater, TX 79556-7152 | 2006-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932680972 | Rebecca Jane Rees | Counselor | 808 1/2 East Broadway, Sweetwater, TX 79556 | 2018-08-28 |
| 1811324080 | Byron Heath Patterson | Pharmacist | 210 Sw Georgia Ave, Sweetwater, TX 79556 | 2013-10-03 |
| 1598034506 | Norma Linda Leal | Pharmacist | 210 S. W. Georgia Ave, Sweetwater, TX 79556 | 2011-12-20 |
| 1609023746 | Donald J. Armstrong Jr. | Counselor | 113 W. 3rd St., Sweetwater, TX 79556 | 2008-08-20 |
| 1023280724 | Chas L Mcglothlin | Durable Medical Equipment & Medical Supplies | 1107b E Broadway, Sweetwater, TX 79556 | 2008-04-02 |
| 1023134590 | Assisted Living Concepts Inc | Assisted Living Facility | 1700 Hoyt Avenue, Sweetwater, TX 79556 | 2007-03-22 |
| 1467598771 | Randy S May | Dentist | 302 East Third St, Sweetwater, TX 79556 | 2007-01-30 |
| 1437200573 | City of Sweetwater | Home Delivered Meals | 1701 Elm St, Sweetwater, TX 79556 | 2007-01-16 |
| 1669567277 | Paul Edward Byers | Nurse Anesthetist, Certified Registered | 200 East Arizona Avenue, Sweetwater, TX 79556 | 2006-10-03 |
| 1972602829 | Gilbert S. Carreon | Dentist | 500 Lamar, Sweetwater, TX 79556 | 2006-09-21 |
| Find all providers in zip 79556 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995399 | Sweetwater Hospital Physician Group | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2020-03-02 |
| 1306206081 | Ashlin Martin Paz | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2016-02-24 |
| 1134485550 | Discovery Medical Network Sweetwater LLC | Obstetrics & Gynecology | 301 Jenny George Ln, Building B, Sweetwater, TX 79556-7152 | 2012-04-10 |
| 1720281876 | Michele Lynn Tate | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2007-06-07 |
| 1508939653 | Ronnie W Dennis Md, PC | Obstetrics & Gynecology | 301 Jenny George Ln, Ste 5, Sweetwater, TX 79556-7152 | 2006-11-16 |
| 1265531933 | Raymond Douglas Rowley | Obstetrics & Gynecology | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2006-09-21 |
| 1699888008 | George Vernon Pegram IIi | Obstetrics & Gynecology | 304 Wright St, Sweetwater, TN 37874-1181 | 2006-08-17 |
| 1790745685 | Ronnie Wayne Dennis | Obstetrics & Gynecology | 301 Jenny George Ln, Ste 5, Sweetwater, TX 79556-7152 | 2006-03-24 |
| 1609845163 | John Lowthian | Obstetrics & Gynecology | 301 Jenny George Ln, Sweetwater, TX 79556-7152 | 2006-03-16 |
| 1003898248 | David J Creutzinger | Obstetrics & Gynecology | 304 Church St, Sweetwater, TN 37874-1181 | 2005-11-15 |
| Find all providers in SWEETWATER | ||||
| City | SWEETWATER |
| Zip Code | 79556 |
Please comment or provide details below to improve the information on SWEETWATER WOMEN'S CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.