EAGLE PHYSICIANS AND ASSOCIATES PA (NPI# 1013086321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013086321 |
| Entity Type | Organization |
| Organization Name | EAGLE PHYSICIANS AND ASSOCIATES PA |
| Other Organization Name | EAGLE PEDIATRICS |
| Practice Address |
5500 W Friendly Ave Ste 200 Greensboro NC 27410-4368 |
| Mailing Address |
Po Box 14883 Greensboro NC 27415-4883 |
| Practice Telephone | 3363731996 |
| Practice Fax Number | 3364822320 |
| Mailing Telephone | 3364822300 |
| Mailing Fax Number | 3364822320 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | TERRI S. JONES (DIRECTOR, EAGLE BUSINESS SERVICES) |
| Authorized Official Telephone | 3362683201 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLE PHYSICIANS AND ASSOCIATES PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89012XV | 05 | |
| NC | BCBS OF NC | 012XV | 01 |
| Other Name | Type Code |
|---|---|
| Eagle Pediatrics | Doing Business As Name - Organization |
| Eagle Physicians at Lake Jeanette | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407871361 | Eagle Physicians and Associates Pa | Internal Medicine | 324 W Wendover Ave, Suite 200, Greensboro, NC 27408-8437 | 2006-07-13 |
| 1295939221 | Eagle Physicians and Associates Pa | Radiology | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1230 | 2007-06-13 |
| 1982808929 | Eagle Physicians and Associates Pa | Pathology | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1230 | 2007-06-13 |
| 1790989739 | Eagle Physicians and Associates Pa | Radiology | 301 E Wendover Ave, Suite 300, Greensboro, NC 27401-1230 | 2007-06-13 |
| 1609070648 | Eagle Physicians and Associates Pa | Internal Medicine | 3824 N Elm St, Greensboro, NC 27455-2596 | 2007-06-13 |
| 1164595757 | Eagle Physicians and Associates Pa | Physician Assistant | 301 E Wendover Ave, Suite 215, Greensboro, NC 27401-1230 | 2006-11-15 |
| 1407929094 | Eagle Physicians and Associates Pa | Internal Medicine | 603 A Dolley Madison Rd, Greensboro, NC 27410-4283 | 2006-11-15 |
| 1457423907 | Eagle Physicians and Associates Pa | Internal Medicine | 301 E Wendover Ave, Suite 200, Greensboro, NC 27401-1230 | 2006-11-13 |
| 1982773206 | Eagle Physicians and Associates Pa | Nurse Practitioner | 1510 Nc Highway 68 N, Oak Ridge, NC 27310-9733 | 2006-11-08 |
| 1073698502 | Eagle Physicians and Associates Pa | Internal Medicine | 1002 N Church St, Suite 201, Greensboro, NC 27401-1439 | 2006-10-25 |
| Street Address |
5500 W FRIENDLY AVE STE 200 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-4368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710484811 | The Moses H Cone Memorial Hospital Operating Corporation | Pediatrics | 201 S Greene St, Greensboro, NC 27401 | 2018-04-06 |
| 1063732055 | Brooktiete Asseres | Pediatrics | 4089 Battleground Ave, Greensboro, NC 27410-8410 | 2010-06-02 |
| 1134303308 | Mdfamily Medical Group | Pediatrics | 631b South Elm Street, Greensboro, NC 27406 | 2007-12-24 |
| 1528241049 | Mdfamily Medical Group | Pediatrics | 2400 Freeman Mill Rd, Greensboro, NC 27406-3912 | 2007-12-06 |
| 1780876904 | Eugene M Simpson Jr. | Pediatrics | 5322 Perrou Ct, Greensboro, NC 27410-2696 | 2007-08-12 |
| 1720296627 | Jennifer E Mccord | Pediatrics | 4 Rockport Ct, Greensboro, NC 27406-8773 | 2007-05-21 |
| 1578600227 | David J Henderson | Pediatrics | 2507 Battleground Ave, Suite B, Greensboro, NC 27408-4003 | 2007-01-31 |
| 1336296698 | Northwest Pediatrics Inc | Pediatrics | 4529 Jessup Grove Road, Greensboro, NC 27410 | 2007-01-05 |
| 1114096641 | Alan W. Cooper | Pediatrics | 2707 Henry Street, Greensboro, NC 27405-3669 | 2006-11-07 |
| 1619055548 | Aveline Quinlan | Pediatrics | 5409 W Friendly Ave, Greensboro, NC 27410-4209 | 2006-11-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
Please comment or provide details below to improve the information on EAGLE PHYSICIANS AND ASSOCIATES PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.