Organization Active NPI

North Metro Womens'S Healthcare P.C.

  • Obstetrics & Gynecology Physician
  • Lawrenceville, GA
National Provider Identifier
1649434952
Registry record updated Jul 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
52215 Issued in GA
Legal business name
NORTH METRO WOMENS'S HEALTHCARE P.C.
Practice address
601A Professional Dr
Suite 290
Lawrenceville, GA 30045-3004
Phone
(770) 338-8331
Fax
(770) 338-9499
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2008

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

Authorized official

Name
Dr. William Oduro, M.D.
Title
Doctor
Phone
(770) 310-2343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 52215 GA Primary

Addresses

Primary practice location

601A Professional Dr
Suite 290
Lawrenceville, GA 30045-3004

Mailing address

601A Professional Drive
Suite 290
Lawrenceville, GA 30045-3004
Phone (770) 338-8331

Other identifiers 1

IdentifierTypeStateIssuer
621555898AMedicaidGA

National Provider Directory

National Provider Directory

Locations

575 Professional Dr
Ste 270
Lawrenceville, GA 30046
Phone (770) 338-8331

601 Professional Dr
Ste 290
Lawrenceville, GA 30046
Phone (770) 338-8331

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1649434952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601A PROFESSIONAL DRIVE",
            "address_2": "SUITE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453004",
            "telephone_number": "770-338-8331",
            "fax_number": "770-338-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601A PROFESSIONAL DR",
            "address_2": "SUITE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453004",
            "telephone_number": "770-338-8331",
            "fax_number": "770-338-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH METRO WOMENS'S HEALTHCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "ODURO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "770-310-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "52215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621555898A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.