GROVE PARK PEDIATRICS (NPI# 1275788416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275788416 |
| Entity Type | Organization |
| Organization Name | GROVE PARK PEDIATRICS |
| Practice Address |
113 Trail One Burlington NC 27215-5531 |
| Practice Telephone | 3365700354 |
| Practice Fax Number | 3365700356 |
| Mailing Telephone | 3365700354 |
| Mailing Fax Number | 3365700356 |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2008-12-01 |
| Authorized Official Name | MARGARITA GOLDAR (OWNER) |
| Authorized Official Telephone | 3365700354 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2004-00119 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89137W6 | 05 |
| Street Address |
113 TRAIL ONE |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-5531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588621544 | Margarita Maria Goldar | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2006-04-26 |
| 1982203733 | Tiffany Lucas | Nurse Practitioner | 113 Trail One, Burlington, NC 27215-5531 | 2020-10-22 |
| 1851843338 | Taylor Hall | Nurse Practitioner | 113 Trail One, Burlington, NC 27215-5531 | 2016-10-31 |
| 1053617738 | Catherine Nana Abban | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2011-01-28 |
| 1104099506 | Diana Halstead Dolinsky | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2008-04-07 |
| 1780879692 | Ana Carolina Vega | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215177498 | Adrea D Theodore | Pediatrics | 1206-b Vaughn Road, Burlington, NC 27216 | 2009-02-27 |
| 1992951404 | Howard R. Grant | Pediatrics | Lahey Health System, 41 Mall Rd., Burlington, MA 01805-0001 | 2008-08-15 |
| 1295900793 | Mdfamily Medical Group | Pediatrics | 1205 Maple Ave, Burlington, NC 27215-6958 | 2008-04-25 |
| 1790863058 | Warren Kent Bonney | Pediatrics | 3804 S Church St, Burlington, NC 27215-9134 | 2006-11-02 |
| 1740203215 | Catherine Suzanne Rude | Pediatrics | One South Prospect Street, University Pediatrics, Burlington, VT 05401 | 2006-07-25 |
| 1316968142 | Lewis R. First | Pediatrics | Given Courtyard S 250, Burlington, VT 05405-0001 | 2006-07-21 |
| 1699709519 | Karin Reed Minter | Pediatrics | 530 W Webb Ave, Burlington, NC 27217-3706 | 2006-07-10 |
| 1003859943 | Marcia L Moran | Pediatrics | 2105 Maple Ave, Burlington, NC 27215-6853 | 2006-06-14 |
| 1699726729 | Wendy Sue Davis | Pediatrics | 108 Cherry St, Burlington, VT 05401 | 2006-05-13 |
| 1588621544 | Margarita Maria Goldar | Pediatrics | 113 Trail One, Burlington, NC 27215-5531 | 2006-04-26 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on GROVE PARK PEDIATRICS.
| 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.