Provider Demographics
NPI:1003787383
Name:COMMUNITY CARE WOMENS HEALTH AND GYNECOLOGY LLC
Entity type:Organization
Organization Name:COMMUNITY CARE WOMENS HEALTH AND GYNECOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BURRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:740-435-7777
Mailing Address - Street 1:7297 GLENN HWY
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9034
Mailing Address - Country:US
Mailing Address - Phone:740-435-7777
Mailing Address - Fax:866-915-7377
Practice Address - Street 1:7297 GLENN HWY
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9034
Practice Address - Country:US
Practice Address - Phone:740-435-7777
Practice Address - Fax:866-915-7377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty