Active NPI
Cheryl Benita Wingate, M.D.
- Obstetrics & Gynecology Physician
- Fairmont, WV
National Provider Identifier
1497712418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 033257
- Practice address
- 1703 Locust Ave
Fairmont, WV 26554-1320 - Phone
- (304) 366-6100
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 033257 | GA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 47602 | CO | |
| Obstetrics & Gynecology Physician | 207V00000X | 23838 | WV | |
| Obstetrics & Gynecology Physician | 207V00000X | 67579 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 31535 | SC |
Addresses
Primary practice location
1703 Locust Ave
Fairmont, WV 26554-1320
Mailing address
PO Box 1339
Milledgeville, GA 31059-1339
Phone (478) 453-0175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000658072I | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47602 | CO | MD | Obstetrics & Gynecology Physician |
| 67579 | FL | MD | Obstetrics & Gynecology Physician |
| 033257 | GA | MD | Obstetrics & Gynecology Physician |
| 31535 | SC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255910400000",
"number": "1497712418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1339",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310591339",
"telephone_number": "478-453-0175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 LOCUST AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265541320",
"telephone_number": "304-366-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGATE",
"first_name": "CHERYL",
"middle_name": "BENITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2009-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "033257",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "47602",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WV",
"license": "23838",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "67579",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "31535",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000658072I",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.