Eastover Obstetrics and Gynecology Associates Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC

Doing business as

Atrium Health Women's Care Eastover OB/GYN
Eastover Obstetrics and Gynecology

Practice address

7810 Providence Rd
Ste 105
Charlotte, NC 28226-2954

Phone

(704) 446-7800

NPI assigned

Nov 3, 2009

Organization subpart

Yes

Parent organization

EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INCAs reported in NPPES

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

Authorized official

Name

Scott Rissmiller

Title

Enterprise Evp

Phone

(704) 355-8675

Specialties & licenses 2

Addresses

Other names 2

• Atrium Health Women's Care Eastover OB/GYN Doing business as
• Eastover Obstetrics and Gynecology Doing business as

Electronic endpoints 2

Part of

Eastover Obstetrics and Gynecology Associates Inc

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1366779928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305",
            "telephone_number": "704-631-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 PROVIDENCE RD",
            "address_2": "STE 105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282262954",
            "telephone_number": "704-446-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EASTOVER OBSTETRICS AND GYNECOLOGY ASSOCIATES INC",
        "enumeration_date": "2009-11-03",
        "last_updated": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "RISSMILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "ENTERPRISE EVP",
        "authorized_official_telephone_number": "704-355-8675"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "7810 Providence Rd",
            "address_2": "Ste 105",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282262954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Atrium Health Women's Care Eastover OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastover Obstetrics and Gynecology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easterseals Ucp North Carolina
• Easterseals Ucp North Carolina
• Eastland SNF Operations LLC (Redwood Health & Rehab)
• Eastland Urgent Care (Atrium Health Urgent Care Eastland)
• Nicole Roseborough Eastman, PHARM D.
• Eastover Obstetrics and Gynecology Associates Inc (Atrium Health Women's Care Eastover OB/GYN)
• Eastover Opco LLC (Eastover Nursing Center)
• Eastover Psychological & Psychiatric Group, PA
• Eastover SNF Operations LLC (Plaza Health & Rehab)
• Eastover University Obstetrics & Gynecology Associates (Atrium Health Women's Care Eastover University OB/GYN)

• Obstetrics & Gynecology Physician in Charlotte, NC
• Providers in Charlotte, 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 Mar 9, 2023; 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.