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EASTOWNE OB-GYN AND INFERTILITY P.A. NPI 1477652246


NPI Information

NPI: 1477652246
Provider Name: EASTOWNE OB-GYN AND INFERTILITY, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 34D2253349

Address:
180 PROVIDENCE RD
SUITE # 3
CHAPEL HILL, NC
ZIP 27514
Phone: (919) 493-8466
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EASTOWNE OB-GYN AND INFERTILITY, P.A. is a specialist in Chapel Hill, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTOWNE OB-GYN AND INFERTILITY, P.A. NPI is 1477652246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 PROVIDENCE RD
SUITE # 3
CHAPEL HILL, NC
ZIP 27514-206
Phone: (919) 493-8466
Fax: (919) 490-8051

The provider's authorized official is James Ray Dingfelder .
The authorized official title is Owner Physician and has the following contact phone number (919) 493-8466.

The CLIA number assigned to this NPI record is 34D2253349 - other - clinical research with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 6/8/2010.


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
1174400000XSpecialist17855NORTH CAROLINAYes

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
128645OTHERNEW YORKBLUE CROSS/BLUE SHIELD
2202441MEDICARE PINNORTH CAROLINA
3C86271MEDICARE UPINNORTH CAROLINA
47901249MEDICAIDNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.