Organization Active NPI

Canterwood Medical Group

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
National Provider Identifier
1508007121
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CANTERWOOD MEDICAL GROUP
Practice address
2207 Canterwood Dr
Wilmington, NC 28401-7301
Phone
(910) 254-4777
Fax
(910) 254-4888
NPI assigned
Mar 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Christine Bates
Title
Owner
Phone
99106123252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2207 Canterwood Dr
Wilmington, NC 28401-7301

Mailing address

PO Box 71
Wilmington, NC 28402-0071
Phone (910) 612-3252

National Provider Directory

National Provider Directory

Locations

2207 Canterwood Dr
Wilmington, NC 28401
Phone (910) 612-3252

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1508007121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284020071",
            "telephone_number": "910-612-3252",
            "fax_number": "910-254-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 CANTERWOOD DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017301",
            "telephone_number": "910-254-4777",
            "fax_number": "910-254-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTERWOOD MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "99106123252"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.