LINCOLN MEDICAL CENTER OBGYN CLINIC (NPI# 1053604298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053604298 |
| Entity Type | Organization |
| Organization Name | LINCOLN MEDICAL CENTER OBGYN CLINIC |
| Practice Address |
108 Medical Center Blvd Suite 150 Fayetteville TN 37334-2741 |
| Practice Telephone | 9314331105 |
| Practice Fax Number | 9314331171 |
| Mailing Telephone | 9314331105 |
| Mailing Fax Number | 9314331171 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |
| Authorized Official Name | ROBIN MARSHALL (OFFICE MANAGER) |
| Authorized Official Telephone | 9314331105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
108 MEDICAL CENTER BLVD SUITE 150 |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326052408 | William A Edwards | Family Medicine | 108 Medical Center Blvd, Suite G 50, Fayetteville, TN 37334-2741 | 2006-07-27 |
| 1356895999 | Katrina Margaret Dial | Advanced Practice Midwife | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334-2741 | 2016-08-11 |
| 1760780688 | Lincoln Ear Nose and Throat | Otolaryngology | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2011-03-01 |
| 1760783104 | Lincoln Medical Center Orthopedic Clinic | Orthopaedic Surgery | 108 Medical Center Blvd, Suite 100, Fayetteville, TN 37334-2684 | 2010-11-16 |
| 1174824783 | Top Flight Medical Group LLC | Specialist | 108 Medical Center Blvd, Suite G25, Fayetteville, TN 37334-2741 | 2010-11-12 |
| 1578885620 | Lincoln Medical Group | Specialist | 108 Medical Center Blvd, Suite 150, Fayetteville, TN 37334 | 2010-02-17 |
| 1811165616 | Lincoln Medical Center Cardiology Clinic | Specialist | 108 Medical Center Blvd, Suite 125, Fayetteville, TN 37334-2741 | 2008-02-14 |
| 1023299823 | Lincoln Medical Center Surgical Clinic | Clinic/Center | 108 Medical Center Blvd, Suite 175, Fayetteville, TN 37334-2741 | 2007-11-20 |
| 1497957237 | Lincoln Medical Center Orthopedic Clinic | Orthopaedic Surgery | 108 Medical Center Blvd, Ste 175, Fayetteville, TN 37334-2741 | 2007-06-04 |
| 1134248990 | Tennessee Oncology Pllc | Internal Medicine | 108 Medical Center Blvd, Ste G25, Fayetteville, TN 37334-2741 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811398852 | Fayetteville Woman's Care | Obstetrics & Gynecology | 2029 Valley Gate Drive, Suite 101, Fayetteville, NC 28304-3772 | 2014-09-09 |
| 1194126250 | A Woman Place In Fayetteville LLC | Obstetrics & Gynecology | 2053 Valley Gate Drive, Suite 201, Fayetteville, NC 28304-3983 | 2014-09-09 |
| 1336568153 | Melvin Henderson | Obstetrics & Gynecology | 413 Owen Dr Ste 101, Fayetteville, NC 28304-3490 | 2014-04-09 |
| 1932464617 | Nicole E Quinn | Obstetrics & Gynecology | 1267 Highway 54 W Ste 3200, Fayetteville, GA 30214-2111 | 2012-07-10 |
| 1093945115 | Lydia B Apollo | Obstetrics & Gynecology | 2053 Valleygate Dr Ste 201, Fayetteville, NC 28304-3983 | 2009-07-23 |
| 1063677458 | John Marcena Glezen | Obstetrics & Gynecology | 1 The Gazebo, Fayetteville, NY 13066 | 2008-07-24 |
| 1780889766 | Amy L Scott | Obstetrics & Gynecology | 3215 N Northhills Blvd Ste B, Fayetteville, AR 72703-4424 | 2007-06-19 |
| 1790844256 | Christine Dennett Booth | Obstetrics & Gynecology | 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 | 2006-12-08 |
| 1316033368 | Camille Jamil Wehbe | Obstetrics & Gynecology | 3609 Cape Center Dr, Fayetteville, NC 28304-4457 | 2006-10-05 |
| 1154345346 | Dorrette P Grant | Obstetrics & Gynecology | 2573 Ravenhill Dr, Fayetteville, NC 28303-5451 | 2006-07-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.