MR. KEITH GROACH (NPI# 1710308523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710308523 |
| Entity Type | Individual |
| Full Name | MR. KEITH GROACH |
| Credential | PA-C |
| Practice Address |
100 Robinhood Medical Plz Winston Salem NC 27106-5472 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367180800 |
| Practice Fax Number | 3367180871 |
| Mailing Telephone | 9195500821 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2020-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-04669 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4937 Old Country Club Rd., Winston-salem, NC 27104 | 3365461666 |
| Street Address |
100 ROBINHOOD MEDICAL PLZ |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-5472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073592903 | Stephen G. Bissette | Family Medicine | 100 Robinhood Medical Plz, Bldg 100, Winston Salem, NC 27106-5472 | 2006-01-10 |
| 1649805284 | Jalissa Grier | Family Medicine | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2020-03-04 |
| 1265990535 | Vaida Lauren Strong | Family Medicine | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2019-03-06 |
| 1801248034 | Jennifer Jones Mcguirt | Pharmacist | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2016-07-12 |
| 1104271303 | Courtland Davis Winborne | Family Medicine | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2016-04-26 |
| 1942681671 | Chaquia Gee | Social Worker | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2015-06-18 |
| 1932587664 | Crystal Sanchez Dorsey | Family Medicine | 100 Robinhood Medical Plz, Winston Salem, NC 27106 | 2015-05-14 |
| 1316205537 | Novant Health Pharmacy Services, LLC | Pharmacy | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2012-04-25 |
| 1629367933 | Craig Michael Yarbrough | Family Medicine | 100 Robinhood Medical Plz, Winston Salem, NC 27106-5472 | 2011-04-07 |
| 1356575211 | Eboni M. Ellis Farabee | Family Medicine | 100 Robinhood Medical Plz, Bldg 100, Winston Salem, NC 27106-5472 | 2009-05-06 |
| Find all providers in the same location | ||||
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375032 | Anthony Gentile | Physician Assistant | 2632 Wynbrook Dr, Winston Salem, NC 27103-8005 | 2020-08-07 |
| 1376152074 | Meera Shah | Physician Assistant | 3288 Robinhood Rd Ste 202, Winston Salem, NC 27106-5464 | 2020-07-28 |
| 1770118457 | Heather Leigh Bissell | Physician Assistant | 153 Lavender Ln, Winston Salem, NC 27107-6023 | 2020-03-03 |
| 1245899806 | Cheryl L Sizer | Physician Assistant | Wake Forest Baptist Health 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-06-07 |
| 1235606575 | Vincent James Alderete | Physician Assistant | Wake Forest Baptist Health 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2018-10-25 |
| 1386127538 | Frederick Keith Stirewalt | Physician Assistant | Medical Center Blvd Faithhealth, Winston Salem, NC 27157-0001 | 2018-09-13 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1518477694 | Raul Canchari Ames | Physician Assistant | 512 Waughtown St, Winston Salem, NC 27127-2236 | 2017-10-03 |
| 1922528611 | Devon Adams | Physician Assistant | 1 Medical Center Blvd Gastroenterology Dept, Winston Salem, NC 27157-7223 | 2017-06-22 |
| 1053862474 | Seguin Warwick Beuerlein | Physician Assistant | 2425 Riley Forest Dr, Winston Salem, NC 27127-7573 | 2016-10-20 |
| 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.