BETHANY MEDICAL CENTER, PA (NPI# 1174722391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174722391 |
| Entity Type | Organization |
| Organization Name | BETHANY MEDICAL CENTER, PA |
| Practice Address |
3610 Peters Ct High Point NC 27265-9004 |
| Mailing Address |
Po Box 2403 High Point NC 27261-2403 |
| Practice Telephone | 3368830029 |
| Practice Fax Number | 3368838988 |
| Mailing Telephone | 3368830029 |
| Mailing Fax Number | 3368838988 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2010-03-03 |
| Authorized Official Name | DR. LENIN J PETERS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3368830029 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5907644 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831601863 | Bethany Medical Center, Pa | Durable Medical Equipment & Medical Supplies | 1580 Skeet Club Rd Fl 3, High Point, NC 27265-9530 | 2017-10-31 |
| 1841481637 | Bethany Medical Center, Pa | Family Medicine | 851 Old Winston Rd, Suite 103, Kernersville, NC 27284-8780 | 2007-08-06 |
| 1326242728 | Bethany Medical Center, Pa | Family Medicine | 4140 Mendenhall Oaks Pkwy, Suite 101, High Point, NC 27265-8034 | 2007-06-12 |
| Street Address |
3610 PETERS CT |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27265-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598740722 | Julius Nicholas Torelli | Internal Medicine | 3610 Peters Ct, High Point, NC 27265-9004 | 2005-12-09 |
| 1275568099 | Michael Richard Duran | Physician Assistant | 3610 Peters Ct, High Point, NC 27265-9004 | 2006-07-11 |
| 1447290242 | Raymond T Rosario | Internal Medicine | 3610 Peters Ct, High Point, NC 27265-9004 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066985 | Rowanty N. Jenkins | Registered Nurse | 4305 Holstein Drive, High Point, NC 27265 | 2020-09-02 |
| 1407355704 | Triad Pediatrics, PC | Pediatrics | 2754 Hwy 68, Suite 111, High Point, NC 27265 | 2018-02-02 |
| 1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
| 1992235642 | Gina Cobb Davis | Registered Nurse | 2215 Hickswood Rd., High Point, NC 27265 | 2017-06-15 |
| 1700316395 | Jennifer George | Specialist/Technologist | 3988 Clubhouse Court Apt. 2h, High Point, NC 27265 | 2017-06-15 |
| 1730530510 | Safe Living Solutions | Contractor | 2209 Eastchester Dr., Ste 109, High Point, NC 27265 | 2016-06-23 |
| 1528412087 | Johnette Walser | Social Worker | 2411 Penny Road, Suite 102, High Point, NC 27265 | 2016-04-20 |
| 1093143489 | Debbie Schmitz | Specialist | 801 Lindsay St. Suite E, High Point, NC 27265 | 2013-10-22 |
| 1164786034 | Janice Rene' Swanson | Dietitian, Registered | 4515 Premier Dr Ste 401, High Point, NC 27265 | 2012-06-26 |
| 1053600551 | Lynn Buie Brooks | Counselor | 460 Sandybrooke Dr., High Point, NC 27265 | 2011-04-05 |
| Find all providers in zip 27265 | ||||
| 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 |
|---|---|---|---|---|
| 1730478033 | Regional Physicians LLC | Internal Medicine | 624 Quaker Ln Ste D201, High Point, NC 27262-3832 | 2011-04-07 |
| 1922040476 | Helgi Julius Oskarsson | Internal Medicine | 300 Gatewood Ave, High Point, NC 27262-4822 | 2006-06-11 |
| 1801876909 | Jeffrey C. Clevenger | Internal Medicine | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2006-01-17 |
| 1598740722 | Julius Nicholas Torelli | Internal Medicine | 3610 Peters Ct, High Point, NC 27265-9004 | 2005-12-09 |
| 1801446265 | Allyson Elizabeth Blazejewski | Internal Medicine | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2019-09-18 |
| 1255880571 | Bethany Medical Center | Internal Medicine | 1580 Skeet Club Rd, High Point, NC 27265-9005 | 2016-09-28 |
| 1154789808 | Regional Physicians LLC | Internal Medicine | 306 Westwood Ave, Ste. 401, High Point, NC 27262 | 2016-02-09 |
| 1174981823 | Regional Physicians LLC | Internal Medicine | 5826 Samet Dr, High Point, NC 27265-3660 | 2016-02-09 |
| 1427493451 | Cornerstone Health Care Pa | Internal Medicine | 4515 Premier Drive, Suite 300, High Point, NC 27265-8350 | 2013-05-03 |
| 1366606550 | Cornerstone Health Care Pa | Internal Medicine | 306 Westwood Ave, Suite 401, High Point, NC 27262-4341 | 2008-07-16 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27265 |
Please comment or provide details below to improve the information on BETHANY MEDICAL CENTER, PA.
| 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.