DR. CLYDE NOLAN JR. (NPI# 1043285794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043285794 |
| Entity Type | Individual |
| Full Name | DR. CLYDE NOLAN JR. |
| Credential | M.D. |
| Practice Address |
1317 N Elm St Parkview Plaza, Ste 9 Greensboro NC 27401-1033 |
| Practice Telephone | 3363791193 |
| Practice Fax Number | 3363791195 |
| Mailing Telephone | 3363791193 |
| Mailing Fax Number | 3363791195 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2011-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 23067 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8962953 | 05 |
| Street Address |
1317 N ELM ST PARKVIEW PLAZA, STE 9 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605406 | Otis Norwood Fisher | Radiology | 1317 N Elm St, Suite 1b, Greensboro, NC 27401-1033 | 2005-11-03 |
| 1427347228 | Christopher Lanier Groat | Ophthalmology | 1317 N Elm St, Ste 4, Greensboro, NC 27401-1033 | 2011-04-01 |
| 1386815488 | Judith A. Walker Dds, Pa | Dentist | 1317 N Elm St, Suite 6, Greensboro, NC 27401-1033 | 2008-03-17 |
| 1457418170 | Judith A Walker | Dentist | 1317 N Elm St, Suite 6, Greensboro, NC 27401-1033 | 2007-01-02 |
| 1275606022 | William Ross Stevens | Radiology | 1317 N Elm St, Suite 1b, Greensboro, NC 27401-1033 | 2006-11-16 |
| 1477664001 | Bland Clinic, Pa | Family Medicine | 1317 N Elm St, Suite 7, Greensboro, NC 27401-1033 | 2006-08-31 |
| 1932125564 | Groat Eyecare Associates, P.a. | Optometrist | 1317 N Elm St, Suite 4, Greensboro, NC 27401-1033 | 2006-07-15 |
| 1033135108 | Robert Lanier Groat | Ophthalmology | 1317 N Elm St, Suite 4, Greensboro, NC 27401-1033 | 2006-07-14 |
| 1588610489 | Kyle Young | Radiology | 1317 N Elm St, Suite 1b, Greensboro, NC 27401-1033 | 2006-05-25 |
| 1114971009 | Gerald Kenneth Hill | Family Medicine | 1317 N Elm St, Suite 7, Greensboro, NC 27401-1033 | 2006-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003226051 | Mario Mitkov | Dermatology | 3107 Brassfield Rd Ste 300, Greensboro, NC 27410-2074 | 2014-04-30 |
| 1750439188 | Bruce Phillip Mccoy | Dermatology | 526 North Elam Avenue, Suite 201, Greensboro, NC 27403-1132 | 2007-01-08 |
| 1538236294 | Wayne G. Woods Md Pa | Dermatology | 719 Green Valley Rd Ste 203, Greensboro, NC 27408-7025 | 2006-11-29 |
| 1023105897 | John H Hall Jr Md Pa | Dermatology | 1305 W Wendover Avenue, Ste D, Greensboro, NC 27408 | 2006-10-05 |
| 1033195789 | Dermatology Specialists Pa | Dermatology | 510 N Elm Ave, Suite 303, Greensboro, NC 27403-1142 | 2005-12-15 |
| 1093799447 | Robert Nicholas Davis | Dermatology | 600 Walter Reed Dr, Greensboro, NC 27403-4541 | 2005-11-30 |
| 1013914910 | Robert G Goodrich | Dermatology | 2704 Saint Jude St, Greensboro, NC 27405-3670 | 2005-07-07 |
| 1962405647 | David E. Tart | Dermatology | 5704 Hidden Orchard Dr, Greensboro, NC 27410-2523 | 2005-05-24 |
| 1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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| 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.