All About Women, PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

95-00440 Issued in NC

Legal business name

ALL ABOUT WOMEN, PA

Practice address

170 Medical Park Rd
Suite 301
Mooresville, NC 28117-8540

Phone

(704) 658-1413

Fax

(704) 658-1431

NPI assigned

Jul 10, 2006

Last updated

Jan 8, 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

Dr. Susan Lovejoy Roque, MD

Title

Owner

Phone

(704) 658-1413

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1861426876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD",
            "address_2": "SUITE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178540",
            "telephone_number": "704-658-1413",
            "fax_number": "704-658-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEDICAL PARK RD",
            "address_2": "SUITE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178540",
            "telephone_number": "704-658-1413",
            "fax_number": "704-658-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT WOMEN, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "LOVEJOY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-658-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "95-00440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8973089",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Obstetrics & Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.