OBSTETRIX MEDICAL GROUP OF COASTAL CAROLINA PLLC (NPI# 1053614354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053614354 |
| Entity Type | Organization |
| Organization Name | OBSTETRIX MEDICAL GROUP OF COASTAL CAROLINA PLLC |
| Practice Address |
2212 Delaney Ave Wilmington NC 28403-6011 |
| Mailing Address |
4991 Lake Brook Dr Suite 300 Glen Allen VA 23060-9290 |
| Practice Telephone | 9103323660 |
| Mailing Telephone | 8886274702 |
| Mailing Fax Number | 8042530408 |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2010-12-15 |
| Authorized Official Name | ARNOLD M. POOLE (AUTHORIZED SIGNATOR) |
| Authorized Official Telephone | 8002433839 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2212 DELANEY AVE |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794558 | Lydia N Wright | Obstetrics & Gynecology | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2005-07-15 |
| 1609216803 | Danielle Feck Theberge | Registered Nurse | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2013-07-02 |
| 1508113689 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2012-08-08 |
| 1578856589 | Jeannice Lesko | Genetic Counselor, MS | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2011-05-24 |
| 1760775860 | Ashley Tompkins | Genetic Counselor, MS | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2011-05-23 |
| 1730481425 | Dawn Renee Hill | Registered Nurse | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2010-12-01 |
| 1306957451 | Wilmington Maternal-fetal Medicine, Pllc | Specialist | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2006-08-31 |
| 1003870189 | John J Botti | Obstetrics & Gynecology | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 |
|---|---|---|---|---|
| 1003274077 | St. Francis Hospital Inc. | Obstetrics & Gynecology | 701 N Clayton St, Wilmington, DE 19805-3165 | 2016-02-05 |
| 1841674264 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 2150 Shipyard Blvd, Wilmington, NC 28403-8052 | 2015-07-15 |
| 1508113689 | Private Diagnostic Clinic, Pllc | Obstetrics & Gynecology | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2012-08-08 |
| 1194974535 | Imelda Odibo | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2008-09-10 |
| 1912940982 | Jeffrey Wright | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2006-06-14 |
| 1003870189 | John J Botti | Obstetrics & Gynecology | 2212 Delaney Ave, Wilmington, NC 28403-6011 | 2006-04-14 |
| 1811992290 | Marvin L Hage | Obstetrics & Gynecology | 2131 S 17th St, Wilmington, NC 28401-7407 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770839458 | Novant Medical Group, Inc | Obstetrics & Gynecology | 19475 Old Jetton Rd, Cornelius, NC 28031-6591 | 2012-07-31 |
| 1437338050 | Caromont Medical Group Inc | Obstetrics & Gynecology | 620 Summit Crossing Pl Ste 108c, Gastonia, NC 28054-2189 | 2007-10-31 |
| 1548478019 | Elizabeth Bates Ausbeck | Obstetrics & Gynecology | 1718 E 4th St Ste 404, Charlotte, NC 28204-3193 | 2007-05-18 |
| 1609926294 | Atlantic Fetal Medicine Pa | Obstetrics & Gynecology | 411 Western Blvd Ste C, Jacksonville, NC 28546-6822 | 2007-01-12 |
| 1124189600 | Jacqueline H Grant | Obstetrics & Gynecology | Unc Hospitals and Clinics 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-12-12 |
| 1245314301 | Andra H. James | Obstetrics & Gynecology | 2608 Erwin Rd Ste 200, Durham, NC 27705-4597 | 2006-10-25 |
| 1093802191 | Nancy Chescheir | Obstetrics & Gynecology | Unc School of Medicine Dept of Ob Gyn, Cb 7516 Old Clinic Building 3010, Chapel Hill, NC 27599-0001 | 2006-10-09 |
| 1801904123 | Neeta L Vora | Obstetrics & Gynecology | Unc Department of Ob Gyn Division of Mfm, 3010 Old Clinic Bldg./cb# 7516, Chapel Hill, NC 27599-0001 | 2006-08-27 |
| 1700991296 | William Harold Goodnight IIi IIi | Obstetrics & Gynecology | 3010 Old Clinic Building, Campus Box 7516, Chapel Hill, NC 27599-0001 | 2006-08-21 |
| 1477533115 | Heather Mertz | Obstetrics & Gynecology | 10660 Park Rd, Ste 4300, Charlotte, NC 28210-8413 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on OBSTETRIX MEDICAL GROUP OF COASTAL CAROLINA PLLC.
| 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.