DR. KELLIE A GOLDSBOROUGH (NPI# 1649226614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649226614 |
| Entity Type | Individual |
| Full Name | DR. KELLIE A GOLDSBOROUGH |
| Credential | MD |
| Practice Address |
309 New St Greensboro NC 27405-3654 |
| Practice Telephone | 3363799708 |
| Practice Fax Number | 3363788714 |
| Mailing Telephone | 3363799708 |
| Mailing Fax Number | 3363798714 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
9801287 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PARTNERS | 37411 | 01 |
| NC | UHC PROVIDER # | 3100068 | 01 |
| NC | 891272G | 05 | |
| NC | BCBS PROVIDER | 1272G | 01 |
| Street Address |
309 NEW ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-3654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046491 | Richard F. Fox | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2005-07-12 |
| 1417444928 | Lindsay Paige Penninger | Physician Assistant | 309 New St, Greensboro, NC 27405-3654 | 2018-04-19 |
| 1538671276 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 309 New St, Greensboro, NC 27405-3654 | 2017-11-03 |
| 1811367899 | Rita Harbison Brown | Nurse Practitioner | 309 New St, Greensboro, NC 27405-3654 | 2015-10-02 |
| 1689070013 | Ogechi Grace Ejigiri | Physician Assistant | 309 New St, Greensboro, NC 27405-3654 | 2014-11-12 |
| 1528327889 | Elizabeth C Upton | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2012-05-08 |
| 1841562774 | Dron Prasad Bhandari | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2012-02-08 |
| 1871887182 | Lori Catherine Graves Foster | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2011-06-03 |
| 1689835548 | Lindsay Anne Kruska | Internal Medicine | 309 New St, Greensboro, NC 27405 | 2008-06-23 |
| 1013034727 | Jay Krishnavadan Patel | Internal Medicine | 309 New St, Carolina Kidney Associates, Greensboro, NC 27405-3654 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992808463 | Richard W Baehler | Internal Medicine | 1000 Cowles Clinc Way Ste W-200, Greensboro, GA 30642-4539 | 2006-09-07 |
| 1396785994 | James L Deterding | Internal Medicine | Carolina Kidney Associates, Pa, 309 New Street, Greensboro, NC 27405-3654 | 2006-06-08 |
| 1053310383 | James W. Lin | Internal Medicine | 309 New Street, Greensboro, NC 27405-3654 | 2005-07-19 |
| 1326046491 | Richard F. Fox | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2005-07-12 |
| 1528327889 | Elizabeth C Upton | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2012-05-08 |
| 1841562774 | Dron Prasad Bhandari | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2012-02-08 |
| 1871887182 | Lori Catherine Graves Foster | Internal Medicine | 309 New St, Greensboro, NC 27405-3654 | 2011-06-03 |
| 1689835548 | Lindsay Anne Kruska | Internal Medicine | 309 New St, Greensboro, NC 27405 | 2008-06-23 |
| 1467653196 | Ryan B Sanford | Internal Medicine | 309 New Street, Greensboro, NC 27405-3654 | 2007-05-30 |
| 1245374248 | Charles Earl Frazier Sr. | Internal Medicine | 200 E Northwood St, Ste 206, Greensboro, NC 27401 | 2007-02-16 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on DR. KELLIE A GOLDSBOROUGH.
| 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.