Active NPI
Lauretta Ginex Stombaugh, D.O.
- Pediatrics Physician
- Brevard, NC
National Provider Identifier
1124355326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2009-01-727
- Practice address
- 157 Medical Park Dr
Brevard, NC 28712-4189 - Phone
- (828) 884-3440
- Fax
- (828) 884-6613
- NPI assigned
- Nov 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2009-01-727 | NC | Primary |
Addresses
Primary practice location
157 Medical Park Dr
Brevard, NC 28712-4189
Mailing address
600 Beverly Hanks Ctr
Hendersonville, NC 28792-2305
Phone (828) 693-3296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hendersonville Pediatrics, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Hendersonville, NC
- NPI 1912966656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1124355326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BEVERLY HANKS CTR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287922305",
"telephone_number": "828-693-3296",
"fax_number": "828-692-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 MEDICAL PARK DR",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124189",
"telephone_number": "828-884-3440",
"fax_number": "828-884-6613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOMBAUGH",
"first_name": "LAURETTA",
"middle_name": "GINEX",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2009-01-727",
"primary": true
}
],
"identifiers": [],
"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 Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.