EAGLE PHYSICIANS AND ASSOCIATES PA (NPI# 1164595757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164595757 |
| Entity Type | Organization |
| Organization Name | EAGLE PHYSICIANS AND ASSOCIATES PA |
| Other Organization Name | EAGLE FAMILY MEDICINE AT VILLAGE |
| Practice Address |
301 E Wendover Ave Suite 215 Greensboro NC 27401-1230 |
| Mailing Address |
Po Box 14883 Greensboro NC 27415-4883 |
| Practice Telephone | 3363791156 |
| Practice Fax Number | 3363700442 |
| Mailing Telephone | 3363791156 |
| Mailing Fax Number | 3363700442 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2015-09-24 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890134Y | 05 | |
| NC | BCBS OF NC | 0134Y | 01 |
| Other Name | Type Code |
|---|---|
| Eagle Family Medicine at Village | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013086321 | Eagle Physicians and Associates Pa | Family Medicine | 5500 W Friendly Ave Ste 200, Greensboro, NC 27410-4368 | 2006-11-08 |
| 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 |
| 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 |
301 E WENDOVER AVE SUITE 215 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043214687 | Bryan K Bartle | Surgery | 301 E Wendover Ave, Suite 411, Greensboro, NC 27401-1230 | 2005-06-10 |
| 1902364029 | Alexis Scotece | Dietitian, Registered | 301 E Wendover Ave, Greensboro, NC 27401 | 2019-03-07 |
| 1265918171 | Rosalynne Faith Lopez | Health Educator | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2018-07-13 |
| 1689185068 | Cassie Lynn Kuppelweiser | Pharmacist | 301 E Wendover Ave, Greensboro, NC 27401-1230 | 2017-10-12 |
| 1780119636 | Minh Pham | Pharmacist | 301 E Wendover Ave, Suite 111, Greensboro, NC 27401-1230 | 2017-04-28 |
| 1457897175 | Jennifer Lauren Rafeek | Nurse Practitioner | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-19 |
| 1730625518 | Cone Center for Children | Clinic/Center | 301 E Wendover Ave, Suite 400, Greensboro, NC 27401-1230 | 2017-01-17 |
| 1942666953 | Central Carolina Health Network | Voluntary or Charitable | 301 E Wendover Ave, Ste 113, Greensboro, NC 27401-1230 | 2016-01-06 |
| 1285018366 | Michelle Elizabeth Stoisits | Social Worker | 301 E Wendover Ave, 400, Greensboro, NC 27401-1230 | 2015-07-17 |
| 1710396841 | Dawn Drazek | Nurse Practitioner | 301 E Wendover Ave, Ste 412, Greensboro, NC 27401-1230 | 2014-08-02 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014233 | Shea Nicole Church | Family Medicine | 5710 W Gate City Blvd # 1, Greensboro, NC 27407-7061 | 2019-07-02 |
| 1487116968 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 3711 Elmsley St Ste 101, Greensboro, NC 27406-7039 | 2019-04-03 |
| 1104315654 | Richter Family Medicine and Wellness | Family Medicine | 5500 W Friendly Ave Ste 201, Greensboro, NC 27410-4368 | 2018-05-09 |
| 1588177315 | Medexpress Urgent Care North Carolina, P.C. | Family Medicine | 4100 Beechwood Dr, Greensboro, NC 27410-8117 | 2017-11-15 |
| 1417467275 | Moses Cone Physician Services, Inc. | Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405-5357 | 2017-10-06 |
| 1528412483 | Taye Tolcha Gonfa | Family Medicine | 1125 N. Church Street, Greensboro, NC 27401 | 2016-04-18 |
| 1962889592 | Alvin Caldwell Powell Jr. | Family Medicine | 1200 N Elm St # 3509, Greensboro, NC 27401 | 2015-05-04 |
| 1518398098 | Novant Medical Group, Inc | Family Medicine | 6316 Old Oak Ridge Rd, Suite E, Greensboro, NC 27410-9940 | 2013-12-09 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1861731192 | Alice Ingram | Family Medicine | 1301 W Wendover Ave Ste A, Greensboro, NC 27408-8123 | 2013-02-06 |
| 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.