A WOMANS PLACE IN FAYETTEVILLE PLLC (NPI# 1326006438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326006438 |
| Entity Type | Organization |
| Organization Name | A WOMANS PLACE IN FAYETTEVILLE PLLC |
| Practice Address |
2053 Valleygate Dr Suite 201 Fayetteville NC 28304-3688 |
| Practice Telephone | 9104849020 |
| Practice Fax Number | 9104849012 |
| Mailing Telephone | 9104849020 |
| Mailing Fax Number | 9104849012 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | ANDREA KAREN DICKERSON (PRESIDENT) |
| Authorized Official Telephone | 9104849020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
2053 VALLEYGATE DR SUITE 201 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323176 | Andrea Karen Dickerson | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304-3688 | 2005-08-17 |
| 1770777336 | Camile Marsh Andrews | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste 201, Fayetteville, NC 28304-3747 | 2007-08-28 |
| 1811192552 | Cape Fear Aesthetics LLC | Plastic Surgery | 2053 Valleygate Dr, Ste. 102, Fayetteville, NC 28304-3688 | 2007-06-20 |
| 1902958697 | Elena Terece Reynolds | Physician Assistant | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3747 | 2007-01-16 |
| 1730120916 | Purvi Manish Mehta | Physician Assistant | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-06-09 |
| 1881656932 | Jenny Blanco-doe | Audiologist | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-04-04 |
| 1114989266 | Alison C Delap | Audiologist | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-04-04 |
| 1679544829 | Eric Lemoine Mansfield | Otolaryngology | 2053 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3688 | 2006-01-27 |
| 1376514521 | Edward Ernest Dickerson, Iv | Otolaryngology | 2053 Valleygate Dr, Suite 102, Fayetteville, NC 28304-3747 | 2006-01-27 |
| 1053303891 | Lakshmi Vadlamudi Gordon | Obstetrics & Gynecology | 2053 Valleygate Dr, Ste. 201, Fayetteville, NC 28304-3688 | 2005-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 | 28304 |
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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.