DR. MAURICE KOBLA KPEGLO (NPI# 1063590479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063590479 |
| Entity Type | Individual |
| Full Name | DR. MAURICE KOBLA KPEGLO |
| Credential | MD |
| Practice Address |
2025 Martin L King Jr Dr Suite E Greensboro NC 27406-3334 |
| Mailing Address |
Po Box 14914 Greensboro NC 27415-4914 |
| Practice Telephone | 3363780760 |
| Practice Fax Number | 3363780970 |
| Mailing Telephone | 3363780760 |
| Mailing Fax Number | 3363780970 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 29314 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8950296 | 05 |
| Street Address |
2025 MARTIN L KING JR DR SUITE E |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1013442227 | Viarenew Greensboro, Pllc | General Practice | 5587 Garden Village Way, Ste E, Greensboro, NC 27410-8589 | 2017-04-25 |
| 1215468269 | Gaa Clinic LLC | General Practice | 4009 W Wendover Ave, Greensboro, NC 27407-1904 | 2017-03-22 |
| 1336687896 | Sage Medical, Pllc | General Practice | 150 Cobblestone Walk, Greensboro, NC 27455-8420 | 2017-02-05 |
| 1811159478 | Perry Timberlake | General Practice | 200 Sparrow Rd, Greensboro, AL 36744-5947 | 2008-06-25 |
| 1497975411 | Maurice K. Kpeglo | General Practice | 2025 Martin L. King Jr Dr., Suite-e, Greensboro, NC 27406-3334 | 2007-05-01 |
| 1013925023 | Pandora Goode | General Practice | 3231 Yanceyville St, Alpha Medical Clinic, Greensboro, NC 27405-4043 | 2006-08-04 |
| 1871089490 | I Print Tees LLC | General Practice | 239 E Market St, Greensboro, NC 27401-2909 | 2018-07-06 |
| 1417261116 | Wanek Medical Center Pllc | General Practice | 6 N Pointe Ct, Greensboro, NC 27408-3187 | 2010-08-05 |
| 1629204409 | Han Pyo Choong | General Practice | 4925 W Market St, Greensboro, NC 27407-1544 | 2009-06-07 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27406 |
Please comment or provide details below to improve the information on DR. MAURICE KOBLA KPEGLO.
| 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.