Active NPI
Northwestern Obstetrics & Gynecology, P.a.
- Legal Medicine
- Boone, NC
National Provider Identifier
1710942503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- 39517
- Legal business name
- NORTHWESTERN OBSTETRICS & GYNECOLOGY, P.A.
- Practice address
- 166 Doctors Dr
Boone, NC 28607-5000 - Phone
- (828) 264-9067
- Fax
- (828) 264-9068
- NPI assigned
- Apr 18, 2006
- 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
- Dr. John R Marchese, MD
- Title
- President
- Phone
- (828) 264-9067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | 39517 | NC | Primary |
Addresses
Primary practice location
166 Doctors Dr
Boone, NC 28607-5000
Mailing address
166 Doctors Dr
Boone, NC 28607-5000
Phone (828) 264-9067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902892 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
166 Doctors Dr
Boone, NC 28607
Phone (828) 264-9067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1710942503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 DOCTORS DR",
"city": "BOONE",
"state": "NC",
"postal_code": "286075000",
"telephone_number": "828-264-9067",
"fax_number": "828-264-9068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 DOCTORS DR",
"city": "BOONE",
"state": "NC",
"postal_code": "286075000",
"telephone_number": "828-264-9067",
"fax_number": "828-264-9068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWESTERN OBSTETRICS & GYNECOLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-18",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MARCHESE",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "828-264-9067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "NC",
"license": "39517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8902892",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boone, NC
- Amy Lohse Nix, FNP-C
- Meghan Norris, PHARM D
- North Carolina CVS Pharmacy LLC (CVS Pharmacy #07331)
- Northland Hearing Centers, Inc. (Best Value Hearing Care Center)
- Northwest Childrens & Adolescents Clinic
- Jessica Nicole Null, FNP
- Carlie O'Connor
- Tammy S Ofsanik, SLP
- Ognomy Ga LLC
- Olive Branch Mental Health Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.