DR. JOHN MODARRESS (NPI# 1427305564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427305564 |
| Entity Type | Individual |
| Full Name | DR. JOHN MODARRESS |
| Credential | MD |
| Practice Address |
3960 White Hawk Ln Winston Salem NC 27106-2666 |
| Practice Telephone | 3369223440 |
| Mailing Telephone | 3369223440 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35027 | NC | Other Service Providers |
| Street Address |
3960 WHITE HAWK LN |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-2666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460811 | Ashley Davis | Specialist | 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 | 2020-06-01 |
| 1588010045 | Hmp Diagnostics, Inc. | Specialist | 3125 Arrowcrest Pl, Winston Salem, NC 27107-3805 | 2016-05-13 |
| 1013399237 | Unified Women's Clinical Research | Specialist | 3015 Maplewood Ave Ste 203, Winston Salem, NC 27103-4075 | 2015-06-24 |
| 1598158289 | Melissa Ferguson Giles | Specialist | 1409 Plaza West Dr Ste D, Winston Salem, NC 27103-1418 | 2015-03-05 |
| 1962781047 | Jimmy Wayne Carpenter | Specialist | 4500 Indiana Ave Ste 45, Winston Salem, NC 27106-3269 | 2011-08-08 |
| 1598067001 | Janeice Laster | Specialist | 6020 Meadowdale Dr, Winston Salem, NC 27105-9660 | 2010-12-03 |
| 1790097012 | Shannon D Williams | Specialist | 690 Brookstown Ave, Winston Salem, NC 27101-3730 | 2010-07-02 |
| 1386965788 | Bernadette Pardo Abadiano | Specialist | 223 Everidge Rd., Winston Salem, NC 27103-6307 | 2010-06-20 |
| 1508036740 | Lisa Karen Schenk | Specialist | 801 Timberline Dr, Winston Salem, NC 27101-6243 | 2008-03-04 |
| 1992904247 | Nicole Wellman Rice | Specialist | 5110 Robinhood Village Dr Ste C-1, Winston Salem, NC 27106-9825 | 2007-07-17 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.