NPIMap

Organization Active NPI

Lakeshore Women'S Specialist, PC

  • Gynecology Physician
  • Mooresville, NC
National Provider Identifier
1609313410
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
LAKESHORE WOMEN'S SPECIALIST, PC
Practice address
235 Medical Park Rd
Suite 201
Mooresville, NC 28117-8545
Phone
(704) 658-9211
Fax
(704) 658-9224
NPI assigned
Jan 31, 2017
Organization subpart
Yes
Parent organization
UWH OF NORTH CAROLINA. LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Authorized official

Name
Shelia M Baldwin
Title
Director
Phone
(919) 334-0150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

235 Medical Park Rd
Suite 201
Mooresville, NC 28117-8545

Mailing address

4020 Westchase Blvd
Suite 475
Raleigh, NC 27607-3938
Phone (919) 334-0150

National Provider Directory

National Provider Directory
Tax ID family
Biltmore OBGYN63 organizations share this tax ID, including this one
Part of
Biltmore OBGYN

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1609313410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 WESTCHASE BLVD",
            "address_2": "SUITE 475",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276073938",
            "telephone_number": "919-334-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MEDICAL PARK RD",
            "address_2": "SUITE 201",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178545",
            "telephone_number": "704-658-9211",
            "fax_number": "704-658-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESHORE WOMEN'S SPECIALIST, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UWH OF NORTH CAROLINA. LLP",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-334-0150"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.