MOSES CONE AFFILIATED PHYSICIANS, INC (NPI# 1356506992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356506992 |
| Entity Type | Organization |
| Organization Name | MOSES CONE AFFILIATED PHYSICIANS, INC |
| Other Organization Name | FAMILY TREE OB/GYN |
| Practice Address |
520 Maple Ave Suite C Reidsville NC 27320-4652 |
| Mailing Address |
Po Box 405633 Atlanta GA 30384-5633 |
| Practice Telephone | 3363426063 |
| Practice Fax Number | 3363427847 |
| Mailing Telephone | 3363426063 |
| Mailing Fax Number | 3363427847 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | ROBERT L GOLDSTEIN (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 3368326250 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MOSES H. CONE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1356506992 | 05 |
| Other Name | Type Code |
|---|---|
| Family Tree OB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699196295 | Moses Cone Affiliated Physicians, Inc | Family Medicine | 1617 Nc Highway 66 S, Suite 101, Kernersville, NC 27284-3828 | 2013-12-27 |
| 1790115533 | Moses Cone Affiliated Physicians, Inc | Physician Assistant | 445 Dolley Madison Rd, Suite 410, Greensboro, NC 27410-5165 | 2013-11-14 |
| 1528317906 | Moses Cone Affiliated Physicians, Inc | Urology | 1818 Richardson Drive, Suite F., Reidsville, NC 27320-5451 | 2012-08-31 |
| 1346474103 | Moses Cone Affiliated Physicians, Inc | Obstetrics & Gynecology | 719 Green Valley Rd Ste 305, Greensboro, NC 27408-7026 | 2009-05-08 |
| 1215452677 | Moses Cone Affiliated Physicians, Inc | Internal Medicine | 406 Piedmont St, Reidsville, NC 27320-3832 | 2017-08-07 |
| 1184072589 | Moses Cone Affiliated Physicians, Inc | Internal Medicine | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2016-05-26 |
| 1689934994 | Moses Cone Affiliated Physicians, Inc | Nuclear Medicine | 2921 Crouse Ln, Burlington, NC 27215-8833 | 2012-05-21 |
| 1215216866 | Moses Cone Affiliated Physicians, Inc | Surgery | 1041 Kirkpatrick Rd, Suite 150, Burlington, NC 27215-8148 | 2011-08-15 |
| 1053603001 | Moses Cone Affiliated Physicians, Inc | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2011-05-10 |
| 1467742767 | Moses Cone Affiliated Physicians, Inc | Durable Medical Equipment & Medical Supplies | 1200 North Elm Street, Administrative Services Suite 201, Greensboro, NC 27401-1020 | 2011-04-08 |
| Street Address |
520 MAPLE AVE SUITE C |
| City | REIDSVILLE |
| State | NC |
| Zip Code | 27320-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073176 | William Stephen Luking | Family Medicine | 520 Maple Ave, Ste B, Reidsville, NC 27320-4600 | 2005-06-20 |
| 1013359934 | Kimberly Randall Booker | Nurse Practitioner | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2013-07-19 |
| 1053603001 | Moses Cone Affiliated Physicians, Inc | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2011-05-10 |
| 1073602348 | Jennifer Apple Griffin | Nurse Practitioner | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1821187998 | Frances Hough Cresenzo-dishmon | Advanced Practice Midwife | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1881783975 | Luther Hayewood Eure Jr. | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1528157930 | John Vaughn Ferguson | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1730276890 | Family Tree Ob Gyn, Pa | Specialist | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-09 |
| 1316935018 | Reidsville Family Medicine, Pa | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2005-10-07 |
| 1912903188 | Scott Alfred Luking | Family Medicine | 520 Maple Ave, Ste B, Reidsville, NC 27320-4600 | 2005-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1538796966 | Dabney Varner Porter | Speech-Language Pathologist | 613 S. Main St., Reidsville, NC 27320 | 2020-03-25 |
| 1053868463 | Marlon Nolen | Social Worker | 425 Nc-65, Reidsville, NC 27320 | 2016-09-01 |
| 1659741346 | Gepernard Tania Polidor | Social Worker | 405 Nc-65, Reidsville, NC 27320 | 2015-10-07 |
| 1548687064 | Angel Allen | Skilled Nursing Facility | 255 Penn Lake Dr, Reidsville, NC 27320 | 2014-03-21 |
| 1801234844 | Remmsco | Substance Abuse Rehabilitation Facility | 106 N. Franklin St, Reidsville, NC 27320 | 2013-06-12 |
| 1861733669 | The Free Clinic of Rockingham County, Inc | Clinic/Center | 315 S. Main Street, Reidsville, NC 27320 | 2013-03-05 |
| 1396094173 | Helen Elizabeth Brooks | Nurse Practitioner | 502 South Scales Street, Reidsville, NC 27320 | 2012-09-07 |
| 1952650327 | Ashlee Place | Assisted Living Facility | 538 Warriner Street, Reidsville, NC 27320 | 2012-08-31 |
| 1558638536 | Tracey Caroline Cook | Pharmacist | 1623 Way, Reidsville, NC 27320 | 2011-11-19 |
| Find all providers in zip 27320 | ||||
| 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 |
|---|---|---|---|---|
| 1174016711 | Moses Cone Physician Services, Inc. | Obstetrics & Gynecology | 520 Maple Ave Ste C, Reidsville, NC 27320-4600 | 2018-06-08 |
| 1881783975 | Luther Hayewood Eure Jr. | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| 1528157930 | John Vaughn Ferguson | Obstetrics & Gynecology | 520 Maple Ave, Suite C, Reidsville, NC 27320-4652 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755057 | Holly Springs Ob/gyn, P.a. | Obstetrics & Gynecology | 104 Conway Ct, Cary, NC 27513-9400 | 2020-09-17 |
| 1184244881 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 150 Professional Park Dr Ste 200, Mooresville, NC 28117-5604 | 2020-04-22 |
| 1154940294 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 294 N Nc 16 Business Hwy, Denver, NC 28037-8011 | 2020-04-09 |
| 1649899782 | Atrium Health North Market Network LLC | Obstetrics & Gynecology | 101 E Wt Harris Blvd Ste 5002, Charlotte, NC 28262-3588 | 2020-04-09 |
| 1528617362 | Arboretum Obstetrics & Gynecology | Obstetrics & Gynecology | 3125 Springbank Ln Ste B, Charlotte, NC 28226-3379 | 2019-09-04 |
| 1346895489 | Benjamin Chi | Obstetrics & Gynecology | 111 Mason Farm Rd # 4300b, Chapel Hill, NC 27599-6136 | 2019-08-06 |
| 1265903256 | Albemarle Physician Services - Sentara, Inc | Obstetrics & Gynecology | 701 Luke St Ste D, Edenton, NC 27932-9680 | 2018-12-17 |
| 1396212080 | Fatima Sayyeda Ahmed | Obstetrics & Gynecology | 4904 Majestic Prince Ct, Raleigh, NC 27606-4269 | 2018-10-31 |
| 1467975672 | James Louis Price IIi | Obstetrics & Gynecology | 7830 Masonboro Sound Rd, Wilmington, NC 28409-2671 | 2017-07-19 |
| 1851812614 | Carefirst Urgent Care PC | Obstetrics & Gynecology | 609 Attain St Ste 141, Fuquay Varina, NC 27526-1979 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
| City | REIDSVILLE |
| Zip Code | 27320 |
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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.