Organization Active NPI

Wilkes Womens Care, PA

  • Specialist
  • N Wilkesboro, NC
National Provider Identifier
1881655876
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9500290 Issued in NC
Legal business name
WILKES WOMENS CARE, PA
Practice address
408 8TH Street
Suite 4
N Wilkesboro, NC 28659-4130
Phone
(336) 667-7171
Fax
(336) 667-1095
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Janice Cheek
Title
Office Manager
Phone
(336) 667-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9500290 NC Primary

Addresses

Primary practice location

408 8TH Street
Suite 4
N Wilkesboro, NC 28659-4130

Mailing address

408 8TH St
Suite 4
N Wilkesboro, NC 28659-4167
Phone (336) 667-7171

Other identifiers 2

IdentifierTypeStateIssuer
890297MMedicaidNC
0297MOtherNCBCBS OFFICE PROVIDER #

National Provider Directory

National Provider Directory

Locations

301 8th St
North Wilkesboro, NC 28659
Phone (336) 667-1183

408 8th St
Ste 4
North Wilkesboro, NC 28659
Phone (336) 667-7171

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1881655876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 8TH ST",
            "address_2": "SUITE 4",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286594167",
            "telephone_number": "336-667-7171",
            "fax_number": "336-667-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 8TH STREET",
            "address_2": "SUITE 4",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286594130",
            "telephone_number": "336-667-7171",
            "fax_number": "336-667-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES WOMENS CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-667-7171"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "9500290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890297M",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OFFICE PROVIDER #",
            "identifier": "0297M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in N Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.