Active NPI
Midtown & Gynecology Associates P.a.
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1710979802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MIDTOWN & GYNECOLOGY ASSOCIATES P.A.
- Practice address
- 1718 E 4TH St
Suite 707
Charlotte, NC 28204-3260 - Phone
- (704) 344-1000
- Fax
- (704) 926-8098
- NPI assigned
- Aug 16, 2005
- 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
- Gregory D Parker, M.D.
- Title
- Managing Partner of Midtown OBGYN
- Phone
- (704) 344-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1718 E 4TH St
Suite 707
Charlotte, NC 28204-3260
Mailing address
1718 E 4TH St
Suite 707
Charlotte, NC 28204-3260
Phone (704) 344-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011A1 | Other | NC | BLUE CROSS BLUE SHIELD |
| 89011A1 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710979802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 707",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043260",
"telephone_number": "704-344-1000",
"fax_number": "704-926-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 E 4TH ST",
"address_2": "SUITE 707",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043260",
"telephone_number": "704-344-1000",
"fax_number": "704-926-8098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDTOWN & GYNECOLOGY ASSOCIATES P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MANAGING PARTNER OF MIDTOWN OBGYN",
"authorized_official_telephone_number": "704-344-1000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "011A1",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89011A1",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.