ADVANCED WOMENS HEALTHCARE CENTER, LLC — NPI 1669664926 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in RIPON, WI)

CMS-1500 Box 24J / 33a • NPI

1669664926

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207VG0400X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

933 NEWBURY ST, SUITE 102, RIPON, WI, 54971-1730

✓ 9-Digit EDI 837 ZIP+4 (54971-1730)

Practice Phone & Referral Fax

(920) 748-0550

Fax: (920) 748-0555

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669664926 (ADVANCED WOMENS HEALTHCARE CENTER, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669664926` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED WOMENS HEALTHCARE CENTER, LLC
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207VG0400X` (Obstetrics & Gynecology, Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	933 NEWBURY ST, SUITE 102, RIPON, WI, 54971-1730
Practice Telephone / Fax	Tel: (920) 748-0550 \| Fax: (920) 748-0555
Administrative Mailing Address	933 NEWBURY ST, RIPON, WI, 54971-1730
Enumeration & Last Sync	Enumerated: 2007-08-10 \| CMS Record Updated: 2007-12-31
Authorized Official	PAUL BOEDER (Physician/Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

933 NEWBURY ST, SUITE 102, RIPON, WI, 54971-1730

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Plain-English Taxonomy & CMS Crosswalk (207VG0400X)

What Does Taxonomy Code 207VG0400X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207VG0400X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED WOMENS HEALTHCARE CENTER, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207VG0400X` — Obstetrics & Gynecology, Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: WI \| License: `31521-020` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED WOMENS HEALTHCARE CENTER, LLC (NPI #1669664926)