BETHANY MEDICAL CENTER (NPI# 1316303076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316303076 |
| Entity Type | Organization |
| Organization Name | BETHANY MEDICAL CENTER |
| Practice Address |
3402 Battleground Ave Greensboro NC 27410-2404 |
| Mailing Address |
507 N Lindsay St High Point NC 27262-4303 |
| Practice Telephone | 3368830029 |
| Practice Fax Number | 3368830867 |
| Mailing Telephone | 3368830029 |
| Mailing Fax Number | 3368830867 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-20 |
| Authorized Official Name | LENIN PETERS (PRESIDENT/CEO) |
| Authorized Official Telephone | 3368830029 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
103837 | NC | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 36839 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2013-01110 | NC | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
101104 | NC | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35265 | NC | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89011F1 | 05 | |
| NC | 1992133870 | 05 | |
| NC | 1619398997 | 05 | |
| NC | 3409940 | 05 | |
| NC | 7901101 | 05 | |
| NC | 1780015842 | 05 | |
| NC | 5607644 | 05 | |
| NC | 2316178 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1508341736 | Bethany Medical Center | Anesthesiology | 190 Independence Ave Ste B, North Wilkesboro, NC 28659-4270 | 2018-10-03 |
| 1467829663 | Bethany Medical Center | Clinical Medical Laboratory | 575 N Patterson Ave, Suite 440, Winston Salem, NC 27101-4101 | 2015-08-24 |
| 1992133870 | Bethany Medical Center | Pathology | 100 N Bridge St, Suite C, Wilkesboro, NC 28697-2488 | 2013-10-31 |
| 1972065282 | Bethany Medical Center | Dermatology | 410 College Rd, Greensboro, NC 27410-5151 | 2019-04-04 |
| 1508328816 | Bethany Medical Center | Dermatology | 4002 Spring Garden St, Greensboro, NC 27407-1683 | 2019-04-04 |
| 1528525839 | Bethany Medical Center | Dermatology | 1908 Caudle Dr Ste 100, Mount Airy, NC 27030-4322 | 2019-02-22 |
| 1003382839 | Bethany Medical Center | Dermatology | 3801 W Market St, Greensboro, NC 27407-1301 | 2018-10-19 |
| 1710453550 | Bethany Medical Center | Anesthesiology | 5093 University Pkwy, Winston Salem, NC 27106-6085 | 2018-10-19 |
| 1528554631 | Bethany Medical Center | Pain Medicine | 160 Kimel Forest Dr Ste 100, Winston Salem, NC 27103-6084 | 2018-07-02 |
| Street Address |
3402 BATTLEGROUND AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27410-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992705982 | Douglas Dane Blevins | Internal Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2005-07-31 |
| 1467012054 | Tyler Terry | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2019-06-17 |
| 1316402092 | Melissa Bujanowski | Physician Assistant | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2019-02-06 |
| 1649747163 | Cherrice Applewhite Tice | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2018-11-01 |
| 1407344724 | Laura Lee Vanderburg | Registered Nurse | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2018-04-23 |
| 1942716758 | Stacey R Ratliff | Physician Assistant | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2017-12-18 |
| 1548641871 | Sanjana Iddyadinesh | Family Medicine | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2015-06-11 |
| 1407190135 | Janelle M Grossman | Nurse Practitioner | 3402 Battleground Ave, Greensboro, NC 27410-2578 | 2012-11-19 |
| 1740588532 | Optimus Healthcare Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2011-03-03 |
| 1447566443 | Optimus Medical Group, Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2010-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1669950689 | Matthew W Devaney Dds @ Brassfield, Pa | Dentist | 2018 New Garden Rd D., Greensboro, NC 27410 | 2018-08-01 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1457846495 | Courtney Canty James | Pharmacist | 3300 W Friendly Ave, Greensboro, NC 27410 | 2018-06-22 |
| 1063904506 | Jonathan Hunt | Dentist | 5506 W Friendly Ave Ste 101, Greensboro, NC 27410 | 2018-05-31 |
| 1487158549 | Ruth Ann Foster | Registered Nurse | 3005 Steepleton Colony Court, Greensboro, NC 27410 | 2018-03-22 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1942724729 | Greenbrook Tms Greensboro LLC | Psychiatry & Neurology | 1931 New Garden Rd Ste 108, Greensboro, NC 27410 | 2017-08-02 |
| 1750810156 | Ibrahim Koroma | Home Health Aide | 4907 Hickory Woods Dr, Greensboro, NC 27410 | 2017-06-08 |
| Find all providers in zip 27410 | ||||
| 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 |
|---|---|---|---|---|
| 1811508591 | Guha Medical, Pa | Internal Medicine | 111 W Lewis St, Greensboro, NC 27406-1343 | 2020-08-14 |
| 1477173482 | Infinite Allure Pllc | Internal Medicine | 802 Green Valley Rd Ste 108, Greensboro, NC 27408-7099 | 2020-04-20 |
| 1679139372 | Iora Health North Carolina, P.C. | Internal Medicine | 3351 Battleground Ave., Greensboro, NC 27410 | 2019-05-17 |
| 1295265221 | Mobolaji Babatope Bakare Md PC | Internal Medicine | 3411 W Wendover Ave Ste D, Greensboro, NC 27407-1526 | 2017-06-13 |
| 1457703530 | Chereena C Walker | Internal Medicine | 2705 Kings Mill Rd, Greensboro, NC 27407-6429 | 2016-07-12 |
| 1609260942 | Tima Wellness Pa | Internal Medicine | 1591 Yanceyville Street, Suite 200a, Greensboro, NC 27405-6941 | 2015-03-25 |
| 1861806366 | Omair Sheikh | Internal Medicine | 1200 N Elm St # 2c314, Greensboro, NC 27401-1004 | 2014-06-12 |
| 1558709535 | Medlink Medical Associates, Pa | Internal Medicine | 2031 Martin Luther King Jr Dr Ste A, Greensboro, NC 27406-3300 | 2013-06-12 |
| 1518300474 | Carole Ngankeu Hall | Internal Medicine | 300 E Wendover Ave Fl 3, Greensboro, NC 27401-1229 | 2013-04-10 |
| 1013265909 | The Moses H. Cone Memorial Hospital Operating Corporation | Internal Medicine | 509-e North Elam Avenue, 3rd Floor, Greensboro, NC 27403-1129 | 2012-08-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27410 |
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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.