TRIAD WOMEN'S CENTER PA (NPI# 1194785071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194785071 |
| Entity Type | Organization |
| Organization Name | TRIAD WOMEN'S CENTER PA |
| Practice Address |
4510 Premier Dr Suite 102 High Point NC 27265-8193 |
| Practice Telephone | 3368416574 |
| Practice Fax Number | 3368416906 |
| Mailing Telephone | 3368416574 |
| Mailing Fax Number | 3368416906 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | ELEANOR ELAINE GREENE (PRESIDENT) |
| Authorized Official Telephone | 3368416574 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BC/BS PIN # | 37039 | 01 |
| NC | BC/BS PIN # | 141XT | 01 |
| NC | 5902270 | 05 | |
| NC | 8937039 | 05 | |
| NC | BS GROUP | 017UR | 01 |
| Street Address |
4510 PREMIER DR SUITE 102 |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27265-8193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914488 | Harvette Carmelle Jenkins-bah | Internal Medicine | 4510 Premier Dr, High Point, NC 27265-8349 | 2005-10-03 |
| 1871988121 | Amie Adams | Nurse Practitioner | 4510 Premier Dr, Ste. 102, High Point, NC 27265-8349 | 2015-04-03 |
| 1285025635 | Regional Physiciansllc | Internal Medicine | 4510 Premier Dr, High Point, NC 27265 | 2015-02-06 |
| 1518158559 | Suzann B Hedgecock | Physician Assistant | 4510 Premier Dr, Ste 102, High Point, NC 27265-8349 | 2007-08-06 |
| 1427250299 | Harvette C Jenkins | Internal Medicine | 4510 Premier Dr, Ste. 101 A, High Point, NC 27265-8349 | 2007-06-04 |
| 1487689345 | Aldene N Hawks | Family Medicine | 4510 Premier Dr, Suite 102, High Point, NC 27265-8349 | 2006-07-11 |
| 1033148788 | Lori Michelle Beane | Physician Assistant | 4510 Premier Dr, High Point, NC 27265-8349 | 2006-07-02 |
| 1528094844 | Gretchen Yazmine Velazquez | Internal Medicine | 4510 Premier Dr, Suite 101, High Point, NC 27265-8349 | 2006-06-26 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942730452 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Dr., Suite 104, High Point, NC 27265 | 2017-06-16 |
| 1780113191 | Triad Women's Health and Wellness Center | Obstetrics & Gynecology | 3750 Admiral Drive, Suite 104, High Point, NC 27265-1556 | 2017-06-08 |
| 1922085570 | Ty B Robinson | Obstetrics & Gynecology | 306 Westwood Ave Ste 501, High Point, NC 27262-4342 | 2005-12-26 |
| 1992790968 | Eleanor Elaine Greene | Obstetrics & Gynecology | 3750 Admiral Dr Ste 104, High Point, NC 27265-1556 | 2005-09-15 |
| 1760482145 | Michael Thomas Mcnamara | Obstetrics & Gynecology | 645 N Main St, High Point, NC 27260-5017 | 2005-07-28 |
| 1336537638 | Regional Physicians LLC | Obstetrics & Gynecology | 400 N Elm St, High Point, NC 27262-4939 | 2015-01-08 |
| 1962827550 | Henry H Dorn IIi Md Pllc | Obstetrics & Gynecology | 405 Lindsay St, High Point, NC 27262-4829 | 2014-02-19 |
| 1659718922 | Cornerstone Health Care Pa | Obstetrics & Gynecology | 4515 Premier Dr, Suite 405, High Point, NC 27265-8357 | 2013-05-28 |
| 1104940923 | Cornerstone Health Care, Pa | Obstetrics & Gynecology | 400 N Elm St, High Point, NC 27262-4939 | 2007-03-19 |
| 1598811655 | Robert C Crawford | Obstetrics & Gynecology | 712 N Elm St, Carolina Womancare P.a., High Point, NC 27262-3918 | 2007-01-25 |
| Find all providers in HIGH POINT | ||||
| City | HIGH POINT |
| Zip Code | 27265 |
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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.