Provider Demographics
NPI:1316459340
Name:JOHN, CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:JOHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Mailing Address - Street 2:170 MANNING DRIVE., CB # 7572
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599
Mailing Address - Country:US
Mailing Address - Phone:919-843-2077
Mailing Address - Fax:919-966-2646
Practice Address - Street 1:170 MANNING DRIVE CB #7572
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-1469
Practice Address - Country:US
Practice Address - Phone:919-843-2077
Practice Address - Fax:919-966-2646
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2021-01652207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA220-053-103OtherOBSTETRICS & GYNECOLOGY