Active NPI
Fayetteville Womans Care PA
- Obstetrics & Gynecology Physician
- Fayetteville, NC
National Provider Identifier
1194765362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- FAYETTEVILLE WOMANS CARE PA
- Practice address
- 2029 Valleygate Dr
Fayetteville, NC 28304-3688 - Phone
- (910) 323-2103
- Fax
- (910) 323-2219
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Myron Scott Strickland, M.D.
- Title
- Managing Partner
- Phone
- (910) 323-2103
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
2029 Valleygate Dr
Fayetteville, NC 28304-3688
Mailing address
2029 Valleygate Dr
Suite 101
Fayetteville, NC 28304-3688
Phone (910) 323-2103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 230107 | Other | NC | MEDICARE ACCOUNT NUMBER FOR GROUP |
| 8901520 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
2029 Valleygate Dr
Fayetteville, NC 28304
Phone (910) 323-2103
588 Bailey Rd
Ste D
Lumberton, NC 28358
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Advanced Practice Midwife
- Fayetteville, NC
- NPI 1285814707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277683200000",
"number": "1194765362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 VALLEYGATE DR",
"address_2": "SUITE 101",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043688",
"telephone_number": "910-323-2103",
"fax_number": "910-323-2219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 VALLEYGATE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043688",
"telephone_number": "910-323-2103",
"fax_number": "910-323-2219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAYETTEVILLE WOMANS CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2010-06-28",
"status": "A",
"authorized_official_last_name": "STRICKLAND",
"authorized_official_first_name": "MYRON",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "910-323-2103",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ACCOUNT NUMBER FOR GROUP",
"identifier": "230107",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901520",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.