NPIMap

Organization Active NPI

Raleigh OB/GYN

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1154722072
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
RALEIGH OB/GYN
Practice address
4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7513
Phone
(919) 876-8225
Fax
(919) 876-3371
NPI assigned
Sep 10, 2014
Organization subpart
Yes
Parent organization
UWH OF NORTH CAROLINA LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Ms. Kathryn Garrett
Title
Director Managed Care
Phone
(561) 300-2410

Specialties & licenses 1

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

Addresses

Primary practice location

4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7513

Mailing address

1501 Yamato Rd
Suite 200 West
Boca Raton, FL 33431-4438
Phone (561) 300-2410

National Provider Directory

National Provider Directory
Tax ID family
Biltmore OBGYN63 organizations share this tax ID, including this one
Part of
Biltmore OBGYN

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1154722072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 YAMATO RD",
            "address_2": "SUITE 200 WEST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314438",
            "telephone_number": "561-300-2410",
            "fax_number": "561-953-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 405",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-876-8225",
            "fax_number": "919-876-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALEIGH OB/GYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UWH OF NORTH CAROLINA LLP",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "DIRECTOR MANAGED CARE",
        "authorized_official_telephone_number": "561-300-2410",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.