Basic Information
Provider Information
NPI: 1497713002
EntityType: 2
ReplacementNPI:  
OrganizationName: WOMEN FIRST, OBSTETRICS & GYNECOLOGY, P.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4700 UNION DEPOSIT RD
Address2: SUITE 140
City: HARRISBURG
State: PA
PostalCode: 17111
CountryCode: US
TelephoneNumber: 7176526605
FaxNumber: 7176526431
Practice Location
Address1: 4700 UNION DEPOSIT RD
Address2: SUITE 140
City: HARRISBURG
State: PA
PostalCode: 17111
CountryCode: US
TelephoneNumber: 7176526605
FaxNumber: 7176526431
Other Information
ProviderEnumerationDate: 05/03/2006
LastUpdateDate: 07/09/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SCHAFFSTALL
AuthorizedOfficialFirstName: DEANNA
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: PRACTICE MANAGER
AuthorizedOfficialTelephone: 7176526605
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MRS.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home