GRACE WOMENS CLINIC PA


Address: 2280 S Church St Ste 201, Suite 201, Burlington, NC 27215-5397
Phone: 3365382014

GRACE WOMENS CLINIC PA (NPI# 1871786673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871786673
Entity Type Organization
Organization Name GRACE WOMENS CLINIC PA
Other Organization Name GRACE WOMENS CLINIC
Practice Address 2280 S Church St Ste 201
Suite 201
Burlington
NC 27215-5397
Practice Telephone 3365382014
Practice Fax Number 3365382015
Mailing Telephone 3365382014
Mailing Fax Number 3365382015
Enumeration Date 2007-08-24
Last Update Date 2012-04-24
Authorized Official Name DR. LYNDE KNOWLES-JONAS (PHYSICIAN)
Authorized Official Telephone 3365382014
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 9800935 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RENDERING PROVIDER NPI 1053375535 01
NC 7911368 05
PROVIDER PTAN 2260309A 01
D-U-N-S# 022135915 01
BCBS GROUP# 023X3 01
GROUP NPI 1871786673 01
NC MEDICARE GROUP NUMBER 2349572 01

Other Provider/Organization Names

Other Name Type Code
GRACE WOMENS CLINIC Doing Business As Name - Organization

Office Location

Street Address 2280 S CHURCH ST STE 201
SUITE 201
City BURLINGTON
State NC
Zip Code 27215-5397

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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821382482 Jacqueline Marie Carpenter Obstetrics & Gynecology 6105 1st Financial Dr, Burlington, KY 41005-7892 2011-06-01
1548428964 Stephen Daniel Jackson Obstetrics & Gynecology 1091 Kirkpatrick Road, Burlington, NC 27215-9714 2008-06-02
1871672923 Susan M Hagnell Obstetrics & Gynecology 248 Mchenry Street, Burlington, WI 53105 2006-11-02
1598861791 Robert Siefring Obstetrics & Gynecology 1900 Burlington Mount Holly Rd Ste D, Burlington Professional Campus (rte 541), Burlington, NJ 08016-4722 2006-09-15
1518926245 Peter J Rotolo Obstetrics & Gynecology 101 Cambridge Street, Burlington, MA 01803 2006-03-21
1073510665 Philip John Rosenow Obstetrics & Gynecology 1091 Kirkpatrick Rd, Burlington, NC 27215-9714 2005-06-28
1942826995 Healthone Clinic Services - Obstetrics and Gynecology LLC Obstetrics & Gynecology 286 16th St, Burlington, CO 80807-1651 2020-06-24
1013450840 Jessica Ryniec Obstetrics & Gynecology 111 Colchester Ave, Uvm Medical Center- Obstetrics and Gynecology, Burlington, VT 05401 2016-11-28
1033666441 Ankita Kulkarni Obstetrics & Gynecology 111 Colchester Ave, Burlington, VT 05401-1473 2016-09-01
1942753033 David John Coggin-carr Obstetrics & Gynecology 111 Colchester Ave, Burlington, VT 05401-1473 2016-07-26
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City BURLINGTON
Zip Code 27215

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Dataset Information

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.

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