Family Tree Ob Gyn, Pa

LBN: Family Tree Ob Gyn, Pa
Family Tree Ob Gyn, Pa is an health care organization with primary practice located at 520 Maple Ave Suite C, Reidsville NC 27320-4652. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Other Service Providers / Specialist is the primary health care specialty. Family Tree Ob Gyn, Pa can be contacted via phone (336) 342-6063, or through Ferguson, John Vaughn via phone (336) 342-6063.

Contact Information

Primary practice address
520 Maple Ave Suite C Reidsville NC 27320-4652
Phone: (336) 342-6063
Fax: (336) 342-7847
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, John Vaughn Doctor of Medicine (MD)
Phone: (336) 342-6063

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 26070 North Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1730276890
LBN Legal business name Family Tree Ob Gyn, Pa
DBA Doing business as
Authorized official Ferguson, John Vaughn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730276890 NPPES
North Carolina MEDICAID 89012KH
North Carolina Other 012KH

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