Organization Active NPI

Wendover OB-GYN & Infertility Inc

  • Advanced Practice Midwife
  • Greensboro, NC
National Provider Identifier
1992768071
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Legal business name
WENDOVER OB-GYN & INFERTILITY INC
Practice address
1908 Lendew St
Greensboro, NC 27408-7007
Phone
(336) 273-2835
Fax
(336) 273-1948
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Kathy Johnson
Title
Insurance & Billing Manager
Phone
(336) 273-2835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 367A00000X Primary

Addresses

Primary practice location

1908 Lendew St
Greensboro, NC 27408-7007

Mailing address

1908 Lendew St
Greensboro, NC 27408-7007
Phone (336) 274-4590

Other practice location 1

3200 Northline Ave Ste 130
Greensboro, NC 27408-7600
Phone (336) 286-6565

Other practice location 2

3200 Northline Ave Ste 130
Greensboro, NC 27408-7600
Phone (336) 286-6565

National Provider Directory

National Provider Directory

Locations

3200 Northline Ave
Ste 130
Greensboro, NC 27408
Phone (336) 286-6565

1908 Lendew St
Greensboro, NC 27408
Phone (336) 273-2835

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1992768071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087007",
            "telephone_number": "336-274-4590",
            "fax_number": "336-273-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 LENDEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087007",
            "telephone_number": "336-273-2835",
            "fax_number": "336-273-1948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 Northline Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087600",
            "country_code": "US",
            "telephone_number": "336-286-6565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Northline Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274087600",
            "country_code": "US",
            "telephone_number": "336-286-6565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WENDOVER OB-GYN & INFERTILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "INSURANCE & BILLING MANAGER",
        "authorized_official_telephone_number": "336-273-2835"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.