Organization Active NPI

A Womans Medical Center PA

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Brevard, NC
National Provider Identifier
1083815369
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VH0002X
Legal business name
A WOMANS MEDICAL CENTER PA
Practice address
123 E Main St
Suite 105 Water Oak Suites
Brevard, NC 28712-4481
Phone
(828) 884-5901
NPI assigned
May 31, 2007
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Debbie Reinelt
Title
Billing
Phone
(828) 891-5524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician 207VH0002X Primary

Addresses

Primary practice location

123 E Main St
Suite 105 Water Oak Suites
Brevard, NC 28712-4481

Mailing address

PO Box 1689
Etowah, NC 28729-1689

Other identifiers 3

IdentifierTypeStateIssuer
8937129MedicaidNC
N33834MedicaidNC
37129OtherNCBCBS

National Provider Directory

National Provider Directory

Locations

123 E Main St
Ste 105
Brevard, NC 28712
Phone (828) 884-5901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1083815369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E MAIN ST",
            "address_2": "SUITE 105 WATER OAK SUITES",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124481",
            "telephone_number": "828-884-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A WOMANS MEDICAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "REINELT",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "828-891-5524"
    },
    "taxonomies": [
        {
            "code": "207VH0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8937129",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N33834",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37129",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.