Concord Women's Specialty Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

CONCORD WOMEN'S SPECIALTY CENTER

Practice address

200 Medical Park Dr
Suite 430
Concord, NC 28025-2982

Phone

(704) 792-1000

Fax

(704) 792-1004

NPI assigned

Apr 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jodi Raymer Marangone

Title

Practice Administrator

Phone

(704) 792-1000

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanneisha S Barlow, MD

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
  • NPI 1558340190
  NPD (past)
• Noellee Tashina Clarke, MD

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1447389663
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1275598690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "SUITE 430",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-792-1000",
            "fax_number": "704-792-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "address_2": "SUITE 430",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-792-1000",
            "fax_number": "704-792-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD WOMEN'S SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "MARANGONE",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "RAYMER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "704-792-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "BCBS GROUP #",
            "identifier": "0283F",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890283F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "2315197",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CA8448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Concord Operator LLC (Cabarrus Health and Rehabilitation Center)
• Concord Pharmacy and Surgical Supply
• Concord Place
• Concord Specialty Pharmacy
• Concord Women's Specialty Care, Inc. (Concord Women's Specialty Care)
• Lauren Conder, PHD
• Patricia Ann Condon, FNP-C
• Staci Faulkner Condrey, MD
• Confident Crowns Hair Restoration
• Devan Allen Conley, PHARMD

• Obstetrics & Gynecology Physician in Concord, NC
• Providers in Concord, 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 Jan 14, 2008; 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.