Provider Demographics
NPI:1477652246
Name:EASTOWNE OB-GYN AND INFERTILITY, P.A.
Entity Type:Organization
Organization Name:EASTOWNE OB-GYN AND INFERTILITY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:DINGFELDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-493-8466
Mailing Address - Street 1:180 PROVIDENCE RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2206
Mailing Address - Country:US
Mailing Address - Phone:919-493-8466
Mailing Address - Fax:919-490-8051
Practice Address - Street 1:180 PROVIDENCE RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2206
Practice Address - Country:US
Practice Address - Phone:919-493-8466
Practice Address - Fax:919-490-8051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2010-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17855174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7901249Medicaid
NY28645OtherBLUE CROSS/BLUE SHIELD
NC7901249Medicaid
NCC86271Medicare UPIN