WAKE FOREST EMERGENCY PROVIDERS (NPI# 1477104719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477104719 |
Entity Type | Organization |
Organization Name | WAKE FOREST EMERGENCY PROVIDERS |
Practice Address |
2005 Pisgah Church Rd Greensboro NC 27455-3309 |
Mailing Address |
Po Box 896244 Charlotte NC 28289-6244 |
Practice Telephone | 3367012662 |
Mailing Telephone | 9193830328 |
Enumeration Date | 2019-09-27 |
Last Update Date | 2019-09-27 |
Authorized Official Name | CHADWICK D MILLER (DIRECTOR OF EMERGENCY MEDICINE) |
Authorized Official Telephone | 3367165599 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396216735 | Wake Forest Emergency Providers | Clinic/Center | 557 Brookdale Dr, Statesville, NC 28677-4100 | 2018-12-11 |
Street Address |
2005 PISGAH CHURCH RD |
City | GREENSBORO |
State | NC |
Zip Code | 27455-3309 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083649289 | Michael Younshik Ghim | Emergency Medicine | 2005 Pisgah Church Rd, Suite A, Greensboro, NC 27455-3309 | 2006-07-12 |
1730718131 | Wake Forest University Health Sciences | Durable Medical Equipment & Medical Supplies | 2005 Pisgah Church Rd, Greensboro, NC 27455-3309 | 2020-04-07 |
1336773217 | Lauren Reavis Heller | Nurse Practitioner | 2005 Pisgah Church Rd, Greensboro, NC 27455-3309 | 2020-02-28 |
1316474158 | Kiara Winsor | Nurse Practitioner | 2005 Pisgah Church Rd, Greensboro, NC 27455-3309 | 2017-05-11 |
1255727962 | Triad Urgent Care Pllc | Clinic/Center | 2005 Pisgah Church Rd, Suite A, Greensboro, NC 27455-3309 | 2015-04-09 |
1376968487 | Maggie Whitt Mazurek | Nurse Practitioner | 2005 Pisgah Church Rd, Greensboro, NC 27455-3309 | 2014-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
Find all providers in zip 27455 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356953335 | Triad Regenerative Medicine, PC | Clinic/Center | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 2020-08-20 |
1508379421 | Sante Counseling | Clinic/Center | 208 E Bessemer Ave, Greensboro, NC 27401-6320 | 2017-11-14 |
1578089876 | Edge Medical Services | Clinic/Center | 2122 Enterprise Rd, Greensboro, NC 27408-7004 | 2017-08-17 |
1255727962 | Triad Urgent Care Pllc | Clinic/Center | 2005 Pisgah Church Rd, Suite A, Greensboro, NC 27455-3309 | 2015-04-09 |
1942626304 | Physical Therapy and Hand Specialist, LLC | Clinic/Center | 1130 N Church St Ste 201, Greensboro, NC 27401-1041 | 2014-03-10 |
1740588532 | Optimus Healthcare Pllc | Clinic/Center | 3402 Battleground Ave, Greensboro, NC 27410-2404 | 2011-03-03 |
1194964379 | Wake Forest University Health Sciences | Clinic/Center | 1200 N Elm St, Greensboro, NC 27401-1004 | 2009-02-12 |
1316119142 | Greensboro Heart Center LLC | Clinic/Center | 1331 N Elm St, Greensboro, NC 27401-6302 | 2008-04-01 |
1134218845 | Greensboro Heart Center LLC | Clinic/Center | 1331 N Elm St, Greensboro, NC 27401-6302 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447851340 | Be Inc | Clinic/Center | 13 N Kaufman Stone Way, Candler, NC 28715-7721 | 2020-11-06 |
1801424171 | Recover Together, Inc. | Clinic/Center | 59 Haywood Office Park Ste 2, Waynesville, NC 28785-6998 | 2020-03-31 |
1891330056 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Ave Ste 101, Charlotte, NC 28203-6046 | 2019-11-12 |
1770135808 | American Family Care Fuquay Pllc | Clinic/Center | 1298 N Main St, Fuquay Varina, NC 27526-2615 | 2019-07-09 |
1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
1215593819 | Wilmington Health Pllc | Clinic/Center | 1811 Tiburon Dr, Wilmington, NC 28403-6254 | 2019-05-20 |
1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
Find all providers with the same taxonomy |
City | GREENSBORO |
Zip Code | 27455 |
Please comment or provide details below to improve the information on WAKE FOREST EMERGENCY PROVIDERS.
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.