Teresa Lois Alvarado, MD
Individual provider Active NPI Gynecology Physician · Jacksonville, NC
NPI 1699874602 · NPPES record last updated May 24, 2012
Key facts
- NPI
- 1699874602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gynecology Physician 207VG0400X
- License
- 30273 (NC)
- Practice address
- 219 Station Street
Jacksonville, NC 28546 - Phone
- (910) 455-5000
- Fax
- (910) 455-7083
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120726000356 | NC | Practitioner - Obstetrics/Gynecology | 9133385743 | Practice locations: Jacksonville, NC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30273 | NC | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Womens Clinic | Gynecology | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 30273 | NC | Yes |
Addresses
Primary practice location
219 Station Street
Jacksonville, NC 28546
Mailing address
219 Station Street
Jacksonville, NC 28546
Phone (910) 455-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 561940600 | Other | NC | TAX ID |
| 8910996 | Medicaid | NC |
Other providers in Jacksonville, NC
- Evita M Alston
- Steven Altamirano
- Alterman & Dhillon Eastern NC, PPLC
- Rachel Fisher Althizer
- Angela L Aluise
- Andrew Ambrose
- Lauren Ambrose
- Americare of North Carolina
- Elizabeth Amidon
- Nana Akua Amponsah
All providers in Jacksonville, NC · Gynecology Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.