Basic Information
Provider Information | |||||||||
NPI: | 1427459379 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | A WOMAN'S VIEW PA | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1501 YAMATO RD | ||||||||
Address2: | SUITE 200 WEST | ||||||||
City: | BOCA RATON | ||||||||
State: | FL | ||||||||
PostalCode: | 334314438 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5613002410 | ||||||||
FaxNumber: | 5619534146 | ||||||||
Practice Location | |||||||||
Address1: | 915 TATE BLVD SE | ||||||||
Address2: | SUITE 270 | ||||||||
City: | HICKORY | ||||||||
State: | NC | ||||||||
PostalCode: | 286024042 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8283450800 | ||||||||
FaxNumber: | 8284855579 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/10/2014 | ||||||||
LastUpdateDate: | 09/10/2014 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | GARRETT | ||||||||
AuthorizedOfficialFirstName: | KATHRYN | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | DIRECTOR, MANAGED CARE | ||||||||
AuthorizedOfficialTelephone: | 5613002410 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | Y | ||||||||
ParentOrganizationLBN: | UWH OF NORTH CAROLINA LLP | ||||||||
AuthorizedOfficialNamePrefix: | MS. | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X |   |   | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |   |
No ID Information.