CAROLINA WOMEN'S HEALTH PAVILION, PA (NPI# 1659571610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659571610 |
| Entity Type | Organization |
| Organization Name | CAROLINA WOMEN'S HEALTH PAVILION, PA |
| Practice Address |
247 Memorial Dr Jacksonville NC 28546-6333 |
| Mailing Address |
247 Memorial Dr P.o. Box 12033 Jacksonville NC 28546-6333 |
| Practice Telephone | 9109380900 |
| Practice Fax Number | 9103550404 |
| Mailing Telephone | 9109380900 |
| Mailing Fax Number | 9103550404 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | DORIS DELORIS FOSKEY (OFFICE MANAGER) |
| Authorized Official Telephone | 9109380900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 20584 | NC | Agencies |
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
20584 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 014NM | 01 |
| NC | 89014NM | 05 |
| Street Address |
247 MEMORIAL DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-6333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386856649 | Victoria L Kell | Nurse Practitioner | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-05-07 |
| 1326238015 | Almena Lowe Mozon | Psychologist | 247 Memorial Dr, Jacksonville, NC 28546-6333 | 2007-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737552 | Joe Walker Bancroft Jr. | Obstetrics & Gynecology | 4618 Long Bow Rd. South, Jacksonville, FL 32210-8144 | 2019-02-27 |
| 1255865036 | Dr. Frances Renee Montgomery | Obstetrics & Gynecology | 1432 Braden St Ste B, Jacksonville, AR 72076-3721 | 2017-04-18 |
| 1891012365 | Jax Ob-gyn Pa | Obstetrics & Gynecology | 4123 University Blvd S., Suite D, Jacksonville, FL 32216 | 2010-04-23 |
| 1801044268 | All Women's Health Center of Jacksonville, Inc. | Obstetrics & Gynecology | 4331 University Blvd S, Jacksonville, FL 32216-4909 | 2008-08-28 |
| 1699985457 | Leslie Beadling | Obstetrics & Gynecology | 8160 Summit Ridge Ln, Jacksonville, FL 32256-7149 | 2007-05-23 |
| 1982700746 | Donald S Freedman Md Pa | Obstetrics & Gynecology | 480 Busch Dr, Jacksonville, FL 32218-5553 | 2006-09-16 |
| 1043313653 | The Womens Clinic | Obstetrics & Gynecology | 219 Station Street, Jacksonville, NC 28546 | 2006-09-07 |
| 1285677849 | Kenneth Kushner | Obstetrics & Gynecology | 5111 Baymeadows Rd, Suite 8, Jacksonville, FL 32217-4800 | 2006-06-13 |
| 1982665279 | Kristin P. Fernandez | Obstetrics & Gynecology | 14534 Old Saint Augustine Rd Ste 3430, Jacksonville, FL 32258-2460 | 2006-03-28 |
| 1790778025 | Amy E Hearne | Obstetrics & Gynecology | 7051 Southpoint Pkwy S, Suite 200, Jacksonville, FL 32216-8713 | 2005-08-23 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on CAROLINA WOMEN'S HEALTH PAVILION, PA.
| 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.