NMG AFFILIATE PRACTICE I LLC (NPI# 1114222700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114222700 |
Entity Type | Organization |
Organization Name | NMG AFFILIATE PRACTICE I LLC |
Other Organization Name | NOVANT HEALTH PIEDMONT VEIN |
Practice Address |
150 Charlois Blvd Suite 290 Winston Salem NC 27103-1549 |
Mailing Address |
Po Box 602362 Charlotte NC 28260-2362 |
Practice Telephone | 3367652500 |
Practice Fax Number | 3367652555 |
Mailing Telephone | 7043847840 |
Mailing Fax Number | 7043847830 |
Enumeration Date | 2011-01-13 |
Last Update Date | 2013-06-21 |
Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
Authorized Official Telephone | 3367652500 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Novant Health Piedmont Vein | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750719977 | Nmg Affiliate Practice I LLC | Internal Medicine | 10945 George Mason Cir, Manassas, VA 20110-2233 | 2013-10-25 |
1639474240 | Nmg Affiliate Practice I LLC | Internal Medicine | 812 West Stuart Drive, Galax, VA 24333-2605 | 2011-01-13 |
1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
1407211451 | Nmg Affiliate Practice I LLC | Family Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2015-12-17 |
1861857815 | Nmg Affiliate Practice I LLC | Family Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2015-12-17 |
1457741126 | Nmg Affiliate Practice I LLC | Internal Medicine | 8575 Sudley Rd, Suite A, Manassas, VA 20110-3861 | 2015-02-02 |
1386053502 | Nmg Affiliate Practice I LLC | Psychiatry & Neurology | 8644 Sudley Rd, Suite 315, Manassas, VA 20110-4417 | 2014-08-13 |
1558666164 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2011-01-13 |
1184929796 | Nmg Affiliate Practice I LLC | Internal Medicine | 694 Riverside Dr, Mount Airy, NC 27030-3117 | 2011-01-13 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | NMG AFFILIATE PRACTICE I LLC | 200 Hawthorne Ln, Charlotte, North Carolina 28204 |
North Carolina Corporations | NMG Affiliate Practice I LLC | 2085 Frontis Plaza Blvd, Winston Salem, NC 27103-5614 |
Street Address |
150 CHARLOIS BLVD SUITE 290 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-1549 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497739189 | Bt Heart and Vascular Center, Pllc | Internal Medicine | 150 Charlois Blvd, Suite 223, Winston Salem, NC 27103-1549 | 2005-12-06 |
1740735331 | Cnc / Access, Inc. | Home Health | 150 Charlois Blvd, Winston Salem, NC 27103-1549 | 2016-08-24 |
1245638477 | Novant Medical Group, Inc. | Advanced Practice Midwife | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2014-12-22 |
1609201748 | Megan Peabody Hulen | Nurse Practitioner | 150 Charlois Blvd, Winston Salem, NC 27103-1549 | 2013-09-09 |
1396013462 | Key Behavior Essentials L.l.c | Counselor | 150 Charlois Blvd, Suite 350, Winston Salem, NC 27103-1549 | 2011-12-05 |
1558666164 | Nmg Affiliate Practice I LLC | Internal Medicine | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2011-01-13 |
1285864991 | Michael James Davanzo | Physician Assistant | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2009-07-16 |
1871736694 | Cnc / Access, Inc. | Community/Behavioral Health | 150 Charlois Blvd, Winston Salem, NC 27103-1549 | 2009-04-09 |
1376789792 | Amy Howell Wren | Advanced Practice Midwife | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2009-01-07 |
1629031844 | Elke Bachmann | Registered Nurse | 150 Charlois Blvd, Suite 100, Winston Salem, NC 27103-1549 | 2006-04-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013194471 | Zahid A. Junagadhwalla | Internal Medicine | 2150 Country Club Rd, Winston Salem, NC 27104-4241 | 2008-01-29 |
1013127299 | Amer I Aladin | Internal Medicine | Medical Center Boulevard Department of Cardiology, Winston Salem, NC 27157-1045 | 2007-05-23 |
1366493751 | Barbara A Pisani | Internal Medicine | Medical Ctr, Winston Salem, NC 27157-0001 | 2006-05-12 |
1245288786 | Forsyth Medical Group, LLC | Internal Medicine | 2000 Frontis Plaza Blvd Ste 102, Winston Salem, NC 27103-5616 | 2006-05-05 |
1497739189 | Bt Heart and Vascular Center, Pllc | Internal Medicine | 150 Charlois Blvd, Suite 223, Winston Salem, NC 27103-1549 | 2005-12-06 |
1871587923 | Kenneth E Bodek | Internal Medicine | 186 Kimel Park Dr, Suite 400, Winston Salem, NC 27103-6946 | 2005-09-06 |
1376195669 | Chloe Erin Decklever | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-07-16 |
1619529351 | Matthew Tyler Watson | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-07-12 |
1285298190 | Hannah Marie Mccallum | Internal Medicine | Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-04-25 |
1861913600 | Jade Mccormick Kiger | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-8708 | 2017-07-02 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.