Organization Active NPI

Suzanne K. Hentz M.D., Gynecology, PC

  • Obstetrics & Gynecology Physician
  • Wilmington, NC
National Provider Identifier
1548736192
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SUZANNE K. HENTZ M.D., GYNECOLOGY, PC
Practice address
4815 Oleander Drive
Ste 202
Wilmington, NC 28403
Phone
(910) 452-1133
NPI assigned
Oct 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Suzanne Hentz, MD
Title
Owner, President
Phone
(910) 622-3594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4815 Oleander Drive
Ste 202
Wilmington, NC 28403

Mailing address

4815 Oleander Drive
Ste 202
Wilmington, NC 28403

National Provider Directory

National Provider Directory

Locations

4815 Oleander Dr
Ste 202
Wilmington, NC 28403
Phone (910) 452-1133

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1548736192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 OLEANDER DRIVE",
            "address_2": "STE 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 OLEANDER DRIVE",
            "address_2": "STE 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-452-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE K. HENTZ M.D., GYNECOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "HENTZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "910-622-3594",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "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 Oct 22, 2018; 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.