Active NPI
The Womens Clinic
- Gynecology Physician
- Jacksonville, NC
National Provider Identifier
1043313653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 30273
- Legal business name
- THE WOMENS CLINIC
- Practice address
- 219 Station Street
Jacksonville, NC 28546 - Phone
- (910) 455-5000
- Fax
- (910) 455-7083
- NPI assigned
- Sep 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Lois Alvarado, MD
- Title
- MD
- Phone
- (910) 455-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 30273 | NC | Primary |
Addresses
Primary practice location
219 Station Street
Jacksonville, NC 28546
Mailing address
219 Station Street
Jacksonville, NC 28546
Phone (910) 455-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10996 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
219 Station St
Jacksonville, NC 28546
Phone (910) 378-2501
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1043313653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 STATION STREET",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-455-5000",
"fax_number": "910-455-7083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 STATION STREET",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-455-5000",
"fax_number": "910-455-7083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WOMENS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "ALVARADO",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "LOIS",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "910-455-5000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "30273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10996",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.