DOMINIC W MCKINLEY (NPI# 1518905041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518905041 |
| Entity Type | Individual |
| Full Name | DOMINIC W MCKINLEY |
| Credential | MD |
| Practice Address |
1915 Lendew St Greensboro NC 27408-7033 |
| Practice Telephone | 3362753325 |
| Practice Fax Number | 3362755346 |
| Mailing Telephone | 3362753325 |
| Mailing Fax Number | 3362755346 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
9801388 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891275U | 05 |
| Street Address |
1915 LENDEW ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408-7033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558353623 | Nathan Andrew Graham | Physical Therapist | 1915 Lendew St, Suite 200, Greensboro, NC 27408-7033 | 2005-08-16 |
| 1689061905 | Carrie Henry | Specialist/Technologist | 1915 Lendew St, Greensboro, NC 27408-7033 | 2015-04-24 |
| 1740670199 | Andrew Nida | Physician Assistant | 1915 Lendew St, Greensboro, NC 27408-7033 | 2015-01-23 |
| 1346639358 | T'keyah Henry | Specialist/Technologist | 1915 Lendew St, Greensboro, NC 27408-7033 | 2015-01-14 |
| 1619370848 | Christopher Shawn Zoch | Physical Therapist | 1915 Lendew St, Greensboro, NC 27408-7033 | 2014-10-02 |
| 1427498294 | Christopher Adair | Orthopaedic Surgery | 1915 Lendew St, Greensboro, NC 27408 | 2013-06-26 |
| 1033558655 | Danielle B Laliberte | Physician Assistant | 1915 Lendew St, Greensboro, NC 27408-7033 | 2013-06-17 |
| 1952645053 | Andrew G Ingle | Physical Therapist | 1915 Lendew St, Greensboro, NC 27408-7033 | 2012-11-15 |
| 1962754440 | Kayla J Mckenzie | Physician Assistant | 1915 Lendew St, Greensboro, NC 27408-7033 | 2012-10-09 |
| 1417227042 | Tracy Michelle James | Physical Therapist | 1915 Lendew St, Greensboro, NC 27408-7033 | 2012-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851359236 | Rebecca Lyn Bassett | Family Medicine | 1130 N Church St Ste 100, Greensboro, NC 27401-1041 | 2006-05-03 |
| 1386254373 | Rigby Performance Medicine Pllc | Family Medicine | 2105 W Cornwallis Dr Ste C, Greensboro, NC 27408-7098 | 2020-08-04 |
| 1528578143 | Essential Management LLC | Family Medicine | 526 N Elam Ave Ste 101, Greensboro, NC 27403-1132 | 2017-10-10 |
| 1841602729 | Alicia Chitanand | Family Medicine | 1131c N Church St, Greensboro, NC 27401-1007 | 2014-05-27 |
| 1649532110 | Michael David Rigby | Family Medicine | 2105 W Cornwallis Dr Ste C, Greensboro, NC 27408-7098 | 2012-06-11 |
| 1790715845 | Adam S Kendall | Family Medicine | 3200 Northline Ave, Ste 200, Greensboro, NC 27408-7602 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1760831028 | William M Sykes | Family Medicine | 129 T.t. Lanier St., Buies Creek, NC 27506 | 2016-06-08 |
| 1730561655 | Brendan Jay Michel | Family Medicine | 437 Little Fisher Trl, Mount Airy, NC 27030-6900 | 2015-06-27 |
| 1699179804 | Carolinas Physicians Network Inc | Family Medicine | 48380 Us Highway 52 N, Misenheimer, NC 28109 | 2014-10-17 |
| 1548509805 | Carolinas Physician Network, Inc. | Family Medicine | 332 North Trade Street, Suite 1200, Matthews, NC 28105-6566 | 2013-02-06 |
| 1699903211 | Robert Alcott | Family Medicine | 6050 W Highway 74, Ste D, Indian Trail, NC 28079-3591 | 2009-06-23 |
| 1962637926 | Thomas Joseph Thekkekandam | Family Medicine | 1635 Nc Highway 66 S, Suite 210, Kernersville, NC 27284-3854 | 2009-05-20 |
| 1477738714 | Forsyth Medical Group, LLC. | Family Medicine | 1900 S Hawthorne Rd Ste 480, Dba Sports Medicine Associates, Winston Salem, NC 27103-3913 | 2008-01-07 |
| 1396938171 | Lawrence M Linett, Md, Pllc | Family Medicine | 431 Western Blvd Ste E, Jacksonville, NC 28546-6823 | 2007-08-24 |
| 1962536516 | Richard T. Ferro | Family Medicine | 6832 Market St, Suite A, Wilmington, NC 28405-9723 | 2007-03-15 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
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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.