EVERGREEN HEALTH PROMOTION,P.A. (NPI# 1154332971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154332971 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HEALTH PROMOTION,P.A. |
| Practice Address |
1365 Westgate Center Dr Ste G1 Winston Salem NC 27103 |
| Practice Telephone | 3366596250 |
| Practice Fax Number | 3366596250 |
| Mailing Telephone | 3366596250 |
| Mailing Fax Number | 3366596239 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | ROBERT LEE BLOOMFIELD (OWNER DOCTOR) |
| Authorized Official Telephone | 3366596250 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 23104 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8916312 | 05 |
| Street Address |
1365 WESTGATE CENTER DR STE G1 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003892274 | James L Sanderford Jr. | Radiology | 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103-2980 | 2005-12-20 |
| 1871944975 | Marcia Alvarez | Clinical Nurse Specialist | 1365 Westgate Center Dr, Suite L-1, Winston Salem, NC 27103-2980 | 2016-06-29 |
| 1750627931 | Carolina Iv Solutions, Inc | Pharmacy | 1365 Westgate Center Dr, G-2, Winston Salem, NC 27103-2980 | 2012-12-17 |
| 1285899310 | Med Solutions Compounding Pharmacy,inc | Pharmacist | 1365 Westgate Center Dr, Suite F-2, Winston Salem, NC 27103-2980 | 2008-07-29 |
| 1295866887 | Candice Rae Sotriffer | Counselor | 1365 Westgate Center Dr, Suite A-2, Winston Salem, NC 27103-2980 | 2007-03-08 |
| 1457404295 | Sevenhill Associates Pa | Counselor | 1365 Westgate Center Dr, Winston Salem, NC 27103-2980 | 2007-01-18 |
| 1518024215 | Patricia C Farrell | Psychiatry & Neurology | 1365 Westgate Center Dr, Suite M-1, Winston Salem, NC 27103 | 2007-01-02 |
| 1851454649 | Victoria Marie Soltis-jarrett | Nurse Practitioner | 1365 Westgate Center Dr, Winston Salem, NC 27103-2980 | 2006-12-19 |
| 1558438648 | David Bailey Jarrett | Psychiatry & Neurology | 1365 Westgate Center Dr, L-1, Winston Salem, NC 27103-2980 | 2006-11-30 |
| 1548283831 | Paul J Beerman | Radiology | 1365 Westgate Center Dr, Suite K-1, Winston Salem, NC 27103-3106 | 2006-07-26 |
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| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1043876055 | Iora Health North Carolina, P.C. | Internal Medicine | 3274 Silas Creek Pkwy, Winston Salem, NC 27103-3010 | 2019-05-15 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1740636125 | Joshua W Harbaugh | Internal Medicine | Gme Office Wfbmc Medical Center Blvd, Winston Salem, NC 27157-0001 | 2016-05-04 |
| 1922495795 | Lauren Marie Hartman | Internal Medicine | Sticht Center, 1 Medical Center Blvd, Winston Salem, NC 27517 | 2015-04-20 |
| 1952798985 | Adam Ross Schertz | Internal Medicine | Wake Forest Medical Ctr, Medical Center Blvd, Watlington Hall, 3rd Floor, Winston Salem, NC 27157-0001 | 2015-04-16 |
| 1881002319 | Glorian Mari Roman-ashby | Internal Medicine | Geriatric Clinic-sticht Center Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2014-07-28 |
| 1457648412 | Jiaxi Ding | Internal Medicine | 1340 Creekshire Way Ste 100, Winston Salem, NC 27103-3063 | 2011-06-28 |
| 1730319583 | Jennifer L Gabbard | Internal Medicine | 1 Medical Center Blvd 8th Floor Janeway Tower, Winston Salem, NC 27157-0001 | 2009-07-14 |
| 1730349309 | Willis S Mozingo | Internal Medicine | Wfubmc House Staff Ofc, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-06-16 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 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.