Wilmington Endocrinology PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

110902 Issued in NC

Legal business name

WILMINGTON ENDOCRINOLOGY PA

Practice address

1717 Shipyard Blvd
Suite 220
Wilmington, NC 28403-8023

Phone

(910) 254-9464

Fax

(910) 254-3474

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ghobad Azizi, M.D.NPI 1134162464

Title

President

Phone

(910) 254-9464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEBIAA

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghobad Azizi, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, NC
  • NPI 1134162464
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle Lewis Mayo, PA-C

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1215177878
  Medicare reassignment Care Compare group
• William Preston Buchanan, MD

  • Interventional Cardiology Physician
  • Wilmington, NC
  • NPI 1225146210
  NPD
• Joseph Walter Helak, M.D.

  • Cardiovascular Disease Physician
  • Boone, NC
  • NPI 1609888569
  NPD
• Christina Marie Lafoon, NP

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1881120806
  NPD
• Hillary Hutto Wilson, FNP

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1720478324
  NPD
• Rebecca Jones Westendorff, PA

  • Physician Assistant
  • Gastonia, NC
  • NPI 1376647081
  NPD (past)
• Bridgette Elaine Williams, FNP

  • Nurse Practitioner
  • Wilmington, NC
  • NPI 1104130806
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1801945571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3788",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284060788",
            "telephone_number": "910-254-9464",
            "fax_number": "910-254-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD",
            "address_2": "SUITE 220",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038023",
            "telephone_number": "910-254-9464",
            "fax_number": "910-254-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON ENDOCRINOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "GHOBAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-254-9464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NC",
            "license": "110902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilmington Child and Family Psychiatry, PLLC
• Wilmington Chiropractic
• Wilmington Dermatology Center, PLLC
• Wilmington Dry Needling Company
• Wilmington Ear Nose & Throat Assoc., P.a.
• Wilmington Eye Care Associates OD
• Wilmington Eye Surgery Center, LLC
• Wilmington Eye, P.a.
• Wilmington Eye, P.a.
• Wilmington Family Physicians

• Endocrinology, Diabetes & Metabolism Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Endocrinology, Diabetes & Metabolism Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.