Wilmington Health Access for Teens, Inc

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

Legal business name

WILMINGTON HEALTH ACCESS FOR TEENS, INC

Doing business as

Ashley Wellness Center

Practice address

4005 Oleander Dr
Wilmington, NC 28403-6816

Phone

(910) 790-9949

Fax

(910) 790-9455

NPI assigned

Mar 6, 2008

Organization subpart

Yes

Parent organization

WILMINGTON HEALTH ACCESS FOR TEENS, INCAs reported in NPPES

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

Authorized official

Name

Maria G Van de Bovenkamp, CMA (AAMA)

Title

Director of Administration

Phone

(910) 790-9949

Specialties & licenses 1

Addresses

Other names 1

• Ashley Wellness Center Doing business as

Part of

Wilmington Health Access for Teens

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1841460755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036816",
            "telephone_number": "910-790-9949",
            "fax_number": "910-790-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036816",
            "telephone_number": "910-790-9949",
            "fax_number": "910-790-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON HEALTH ACCESS FOR TEENS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILMINGTON HEALTH ACCESS FOR TEENS, INC",
        "enumeration_date": "2008-03-06",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "VAN DE BOVENKAMP",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATION",
        "authorized_official_telephone_number": "910-790-9949",
        "authorized_official_credential": "CMA (AAMA)"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilmington Health Access for Teens
• Wilmington Health Access for Teens, Inc
• Wilmington Health Access for Teens, Inc
• Wilmington Health Access for Teens, Inc
• Wilmington Health Access for Teens, Inc
• Wilmington Health Access for Teens, Inc
• Wilmington Health PLLC
• Wilmington Health PLLC
• Wilmington Health PLLC
• Wilmington Health PLLC

• Adolescent Medicine (Family Medicine) Physician in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Adolescent Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.