WAKE FOREST EMERGENCY PROVIDERS


Address: 2005 Pisgah Church Rd, Greensboro, NC 27455-3309
Phone: 3367012662

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396216735 Wake Forest Emergency Providers Clinic/Center 557 Brookdale Dr, Statesville, NC 28677-4100 2018-12-11

Office Location

Street Address 2005 PISGAH CHURCH RD
City GREENSBORO
State NC
Zip Code 27455-3309

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City GREENSBORO
Zip Code 27455

Improve Information

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Dataset Information

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.

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