South Lake Women's Healthcare PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

SOUTH LAKE WOMEN'S HEALTHCARE PLLC

Practice address

19453 W Catawba Ave
Suite a
Cornelius, NC 28031-4021

Phone

(704) 896-9912

Fax

(704) 896-9913

NPI assigned

Sep 7, 2016

Last updated

Feb 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lindsey B Mashburn, MDNPI 1770762007

Title

Physician/Owner

Phone

(704) 896-9912

Specialties & licenses 1

Addresses

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.

• Lindsey Burns Mashburn, M.D.

  • Obstetrics & Gynecology Physician
  • Cornelius, NC
  • NPI 1770762007
  Authorized official Same address or phone
• John Michael Shimko, D.P.M.

  • Podiatrist
  • Charlotte, NC
  • NPI 1194718619
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1417404401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19453 W CATAWBA AVE",
            "address_2": "SUITE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314021",
            "telephone_number": "704-896-9912",
            "fax_number": "704-896-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19453 W CATAWBA AVE",
            "address_2": "SUITE A",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280314021",
            "telephone_number": "704-896-9912",
            "fax_number": "704-896-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH LAKE WOMEN'S HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "704-896-9912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Smith, M.S.W.
• Rasheda Smith, PTA
• Evan Snow, DACM
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• Kayla Dominque Soriano
• Special Touch Living
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• Jason John Stamper, PA-C
• Tamika D Stanton
• Starfish Counseling, LLC

• Obstetrics & Gynecology Physician in Cornelius, NC
• Providers in Cornelius, 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 Feb 9, 2017; 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.