HOLDERNESS PLASTIC SURGERY (NPI# 1710436423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710436423 |
| Entity Type | Organization |
| Organization Name | HOLDERNESS PLASTIC SURGERY |
| Practice Address |
500 E Cornwallis Dr Suite F Greensboro NC 27405-5681 |
| Practice Telephone | 3362750919 |
| Practice Fax Number | 3362754849 |
| Mailing Telephone | 3362750919 |
| Mailing Fax Number | 3362754849 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | DR. HOWARD HOLDERNESS JR. (MEMBER, OWNER) |
| Authorized Official Telephone | 3362750919 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3310 | NC | Other Service Providers |
| Street Address |
500 E CORNWALLIS DR SUITE F |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-5681 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619425469 | Iona Willett Windsor | Specialist | 2729 Battleground Ave, 5, Greensboro, NC 27408-2701 | 2016-09-21 |
| 1437501525 | Workready Solutions of Greensboro, Inc. | Specialist | 315 Spring Garden St, Suite 2a, Greensboro, NC 27401-2766 | 2016-07-12 |
| 1053721860 | Ck Vascular Pllc | Specialist | 1305 Lees Chapel Rd, Suite 103, Greensboro, NC 27455-2601 | 2014-05-01 |
| 1265868129 | Lindsey Ryan Brake | Specialist | 3607 Mhra 1111 Spring Garden St, Beyond Academics, The University of N.c. At Greensboro, Greensboro, NC 27412-5013 | 2013-09-23 |
| 1366685364 | Crossroads Treatment Centers | Specialist | 436 Spring Garden St, Greensboro, NC 27401-2734 | 2009-04-07 |
| 1386813038 | Alex Glenn Tomlinson | Specialist | 142 North Walnut Cir, Apt B, Greensboro, NC 27409 | 2008-02-27 |
| 1336350404 | Muriel W Boette | Specialist | 2712 Twin Lakes Dr, Greensboro, NC 27407-4717 | 2007-05-24 |
| 1669685889 | Michael C. Tanner | Specialist | 8 North Pointe Ct, Greensboro, NC 27408 | 2007-05-07 |
| 1962544064 | David Charles Best | Specialist | 600 Pasteur Dr, Greensboro, NC 27403-1140 | 2007-02-13 |
| 1578615415 | Judy Freeman Robbins | Specialist | 431 Spring Garden St Ste 200, Greensboro, NC 27401-6565 | 2007-01-18 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on HOLDERNESS PLASTIC SURGERY.
| 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.