Lake Norman OBGYN LLP

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

LAKE NORMAN OBGYN LLP

Practice address

131 Medical Park Rd
Ste 102
Mooresville, NC 28117

Phone

(704) 663-1282

Fax

(704) 663-1413

NPI assigned

Jan 23, 2006

Organization subpart

No

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

Authorized official

Name

Teresa B Melvin, MDNPI 1174593826

Title

Sr Administrative Partner

Phone

(704) 663-1282

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Melvin, MD

  • Obstetrics & Gynecology Physician
  • Mooresville, NC
  • NPI 1174593826
  NPD (past) Authorized official

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1225008436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MEDICAL PARK RD",
            "address_2": "STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-1282",
            "fax_number": "704-663-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MEDICAL PARK RD",
            "address_2": "STE 102",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "28117",
            "telephone_number": "704-663-1282",
            "fax_number": "704-663-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE NORMAN OBGYN LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "MELVIN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SR ADMINISTRATIVE PARTNER",
        "authorized_official_telephone_number": "704-663-1282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lake Norman Ophthalmology PLLC
• Lake Norman Pain and Weight Management, LLC
• Lake Norman Pediatrics, PA
• Lake Norman Plastic Surgery
• Lake Norman Psychiatry & Counseling, PLLC

• Obstetrics & Gynecology Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.