CONCORD WOMEN'S SPECIALTY CENTER NPI 1275598690

NPI Information

  • NPI: 1275598690
  • Provider Name: CONCORD WOMEN'S SPECIALTY CENTER
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Address: 200 MEDICAL PARK DR
    SUITE 430
    CONCORD, NC
    ZIP 28025
  • Phone: (704) 792-1000

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NPI Details

CONCORD WOMEN'S SPECIALTY CENTER is an obstetrics gynecology in Concord, 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. CONCORD WOMEN'S SPECIALTY CENTER NPI is 1275598690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 MEDICAL PARK DR
SUITE 430
CONCORD, NC
ZIP 28025-982
Phone: (704) 792-1000
Fax: (704) 792-1004

The provider's authorized official is Jodi Raymer Marangone .
The authorized official title is Practice Administrator and has the following contact phone number (704) 792-1000.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 1/14/2008.

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
1207V00000XObstetrics & GynecologyYes

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
1890283FMEDICAIDNORTH CAROLINA
20283FOTHERNORTH CAROLINABCBS GROUP #
32315197OTHERNORTH CAROLINAMEDICARE GROUP
4CA8448OTHERNORTH CAROLINAMEDICARE RAILROAD

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: 11/21/2025

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