Organization Active NPI

Center for Womens Health PA

  • Obstetrics & Gynecology Physician
  • Oxford, NC
National Provider Identifier
1114979010
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
31859 Issued in NC
Legal business name
CENTER FOR WOMENS HEALTH PA
Practice address
101 Professional Park
Oxford, NC 27565-2580
Phone
(919) 693-1082
Fax
(919) 693-2726
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Stacy Benton Lewis Jr., MD
Title
MD/Owner
Phone
(919) 693-1082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X 31859 NC Primary

Addresses

Primary practice location

101 Professional Park
Oxford, NC 27565-2580

Mailing address

101 Professional Park
Oxford, NC 27565-2580
Phone (919) 693-1082

Other identifiers 1

IdentifierTypeStateIssuer
890171KMedicaidNC

National Provider Directory

National Provider Directory

Locations

101 Professional Park
Ste B
Oxford, NC 27565
Phone (919) 603-0368

101 Professional Park
Oxford, NC 27565
Phone (919) 693-1082

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1114979010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL PARK",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652580",
            "telephone_number": "919-693-1082",
            "fax_number": "919-693-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL PARK",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652580",
            "telephone_number": "919-693-1082",
            "fax_number": "919-693-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WOMENS HEALTH PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "BENTON",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "919-693-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "31859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890171K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.