NPIMap

Organization Active NPI

Women's Health Alliance, P.a.

Doing business as dba Wilkerson Ob/Gyn

  • Specialist
  • Raleigh, NC
National Provider Identifier
1497717904
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOMEN'S HEALTH ALLIANCE, P.A.
Doing business as
dba Wilkerson Ob/Gyn
Practice address
4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7513
Phone
(919) 571-1040
Fax
(919) 781-0247
NPI assigned
Apr 3, 2006
Last updated
Nov 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. George M Tosky, M.D.
Title
President
Phone
(919) 848-4080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7513

Mailing address

4414 Lake Boone TRL
Suite 210
Raleigh, NC 27607-7513
Phone (919) 571-1040

Other identifiers 2

IdentifierTypeStateIssuer
5907579MedicaidNC
019JPOtherNCBCBS

Other names 1

  • dba Wilkerson Ob/Gyn Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0240525Wilkerson OB-GYN4414 Lake Boone Trail, Raleigh, NC 27607Provider-performed microscopyDec 22, 2027
34D2305881WMLC Wilkerson OB/GYN4414 Lake Boone Trail, Suite 210, Raleigh, NC 27607Certificate of waiverJun 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Women's Health Alliance PA Pka Centre Obstetrics and Gynecology9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4414 Lake Boone Trl
Ste 308
Raleigh, NC 27607
Phone (919) 781-7450

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1497717904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-571-1040",
            "fax_number": "919-781-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-571-1040",
            "fax_number": "919-781-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH ALLIANCE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "TOSKY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-848-4080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907579",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "019JP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Wilkerson Ob/Gyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.