DR. DIANE NICOLE BALLERINO-REGAN M.D. NPI 1790892081

NPI Information

NPI: 1790892081
Provider Name: DR. DIANE NICOLE BALLERINO-REGAN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
20 MEDICAL CAMPUS DR
SUITE 205
SUPPLY, NC
ZIP 28462
Phone: (910) 755-5260
Get Directions

DR. Diane Nicole Ballerino-regan, M.D. is an obstetrics gynecology in Supply, NC. The provider is 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. DR. Diane Nicole Ballerino-regan, M.D. NPI is 1790892081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20 MEDICAL CAMPUS DR
SUITE 205
SUPPLY, NC
ZIP 28462-096
Phone: (910) 755-5260
Fax: (910) 755-5263

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	ME00664057	FLORIDA	No
2	207V00000X	Obstetrics & Gynecology	11076R	LOUISIANA	No
3	207V00000X	Obstetrics & Gynecology	033929	CONNECTICUT	No
4	207V00000X	Obstetrics & Gynecology	9501169	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8912826	MEDICAID	NORTH CAROLINA
2	2218324C	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	MCR PROVIDER ID#
3	P00010671	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA	RAILROAD MCR PROVIDER ID#
4	N01169	OTHER	SOUTH CAROLINA	SC MCD PROVIDER ID#
5	F66084	MEDICARE UPIN	NORTH CAROLINA
6	12826	OTHER	NORTH CAROLINA	BCBS NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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