Organization Active NPI

The Womens Clinic

  • Gynecology Physician
  • Jacksonville, NC
National Provider Identifier
1043313653
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
30273 Issued in NC
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

Updated by the provider on Jun 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teresa Lois Alvarado, MDNPI 1699874602
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
10996MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.