Washington Womens Care PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

32556 Issued in NC

Legal business name

WASHINGTON WOMENS CARE PA

Practice address

1204 Brown St
Washington, NC 27889-4671

Phone

(252) 946-6544

Fax

(252) 975-6540

NPI assigned

Jul 20, 2006

Last updated

Oct 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda S Peacock, MDNPI 1942287271

Title

Owner President

Phone

(252) 946-6544

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda S Peacock, MD

  • Gynecology Physician
  • Washington, NC
  • NPI 1942287271
  Authorized official Same address or phone

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1720008154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-946-6544",
            "fax_number": "252-975-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-946-6544",
            "fax_number": "252-975-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON WOMENS CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "PEACOCK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "252-946-6544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33756",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "32556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Washington Pediatrics
• Washington Pulmonary Associates, PA
• Washington Urological Associates PA
• Washington Wellness, PLLC
• Washington Wellness, PLLC
• Kristen Shannon Watford, LCMHC
• Lisa Virginia Wharton, PA-C
• White Oak Restorative Therapies, PLLC
• Danielle Jarman White, FNP-C
• Kendra Latrice White

• Gynecology Physician in Washington, NC
• Providers in Washington, NC by specialty
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.