Active NPI
Watauga Women'S Center, PLLC
- Obstetrics & Gynecology Physician
- Boone, NC
National Provider Identifier
1851379424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WATAUGA WOMEN'S CENTER, PLLC
- Practice address
- 870 State Farm Rd
Suite 100
Boone, NC 28607-4861 - Phone
- (828) 264-5464
- Fax
- (828) 264-5488
- NPI assigned
- Jan 4, 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. Cecilia Fabry Grasinger, M.D.
- Title
- Managing Partner
- Phone
- (828) 264-5464
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
870 State Farm Rd
Suite 100
Boone, NC 28607-4861
Mailing address
870 State Farm Rd
Suite 100
Boone, NC 28607-4861
Phone (828) 264-5464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89015XM | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Boone, NC
- NPI 1902884562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851379424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 STATE FARM RD",
"address_2": "SUITE 100",
"city": "BOONE",
"state": "NC",
"postal_code": "286074861",
"telephone_number": "828-264-5464",
"fax_number": "828-264-5488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "870 STATE FARM RD",
"address_2": "SUITE 100",
"city": "BOONE",
"state": "NC",
"postal_code": "286074861",
"telephone_number": "828-264-5464",
"fax_number": "828-264-5488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATAUGA WOMEN'S CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRASINGER",
"authorized_official_first_name": "CECILIA",
"authorized_official_middle_name": "FABRY",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "828-264-5464",
"authorized_official_name_prefix": "Dr.",
"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": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89015XM",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boone, 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.