Active NPI
Womens Life Center of Lumberton, PA
- Obstetrics & Gynecology Physician
- Lumberton, NC
National Provider Identifier
1912977612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- WOMENS LIFE CENTER OF LUMBERTON, PA
- Practice address
- 800 Oakridge Blvd
Lumberton, NC 28358-2330 - Phone
- (910) 738-2454
- Fax
- (910) 671-9303
- NPI assigned
- Jan 25, 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
- Edwin L Baker III, MD
- Title
- Officer
- Phone
- (910) 738-2454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
800 Oakridge Blvd
Lumberton, NC 28358-2330
Mailing address
800 Oakridge Blvd
Lumberton, NC 28358-2330
Phone (910) 738-2454
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890224J | Medicaid | NC | |
| 0224J | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1912977612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 OAKRIDGE BLVD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582330",
"telephone_number": "910-738-2454",
"fax_number": "910-671-9303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OAKRIDGE BLVD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582330",
"telephone_number": "910-738-2454",
"fax_number": "910-671-9303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS LIFE CENTER OF LUMBERTON, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "EDWIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "910-738-2454",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MD"
},
"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": "890224J",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0224J",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.