Active NPI
Suzanne K. Hentz M.D., Gynecology, PC
- Obstetrics & Gynecology Physician
- Wilmington, NC
National Provider Identifier
1548736192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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 DirectoryLocations
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.