MARTIMBEAU GYNECOLOGIC ONCOLOGY PA NPI 1154364867

NPI Information

NPI: 1154364867
Provider Name: MARTIMBEAU GYNECOLOGIC ONCOLOGY PA
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
330 BILLINGSLEY RD
STE 202
CHARLOTTE, NC
ZIP 28211
Phone: (704) 334-8644
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MARTIMBEAU GYNECOLOGIC ONCOLOGY PA is a gynecology obstetrics gynecology in Charlotte, NC. MARTIMBEAU GYNECOLOGIC ONCOLOGY PA NPI is 1154364867. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

330 BILLINGSLEY RD
STE 202
CHARLOTTE, NC
ZIP 28211
Phone: (704) 334-8644
Fax: (704) 358-1466

The provider's authorized official is Pierre W Martimbeau .
The authorized official title is Md President and has the following contact phone number (704) 334-8644.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/22/2020.

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	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	24267	NORTH CAROLINA	Yes
2	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	24267	NORTH CAROLINA	X

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	02093	OTHER	NORTH CAROLINA	BLUE CROSS
2	8902093	MEDICAID	NORTH CAROLINA
3	8954121	MEDICAID	NORTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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