# MEDSPA WOMANS HEALTHCARE PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891845418
- **Authorized official:** DR. JULIUS RODNEY ELLIS MD (OWNER)
- **Authorized official phone:** (219) 362-4690

## Contact information

- **Practice address:** 601 KIEFFER ROAD, MICHIGAN CITY, IN 46360
- **Practice address phone:** (219) 879-6262
- **Practice address fax:** (219) 874-1885
- **Mailing address:** PO BOX 9721, MICHIGAN CITY, IN 46361-9721
- **Mailing address phone:** (219) 362-4690
- **Mailing address fax:** (219) 362-4692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 01052711A | IN | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020