KERNERSVILLE EMERGENCY GROUP, PLLC (NPI# 1750852034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750852034 |
| Entity Type | Organization |
| Organization Name | KERNERSVILLE EMERGENCY GROUP, PLLC |
| Practice Address |
1750 Kernersville Medical Pkwy Kernersville NC 27284-7146 |
| Mailing Address |
Po Box 14529 Belfast ME 04915-4038 |
| Practice Telephone | 3365644000 |
| Mailing Telephone | 7708745400 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | KIM H LARSEN (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 7708745400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1750 KERNERSVILLE MEDICAL PKWY |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968864 | Fernando Crotte | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2005-11-04 |
| 1396372322 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2020-03-27 |
| 1992331235 | Jennifer Lynn Pyle | Physician Assistant | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2020-03-18 |
| 1902462674 | Novant Medical Group, Inc. | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2019-05-17 |
| 1376070458 | Novant Medical Group, Inc | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2017-05-19 |
| 1659724128 | Forsyth Memorial Hospital Inc | Family Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-07-19 |
| 1003279704 | Louis Bruno Fornage | Emergency Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-03-30 |
| 1457711392 | Novant Medical Group Inc | Internal Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-03-04 |
| 1477911675 | Krystle H. Dove | Registered Nurse | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-02-02 |
| 1952783599 | Adrian Hinton | Hospitalist | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2015-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003279704 | Louis Bruno Fornage | Emergency Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-03-30 |
| 1306284773 | Michael Graham Halsey | Emergency Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284 | 2013-06-07 |
| 1710945696 | Carolina Medicorp Enterprises, Inc | Emergency Medicine | 111 Gateway Center Dr, Dba Primecare Kernersville, Kernersville, NC 27284-2999 | 2006-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758430 | Express Test Nc Pllc | Emergency Medicine | 110 Swift Ave, Durham, NC 27705-4880 | 2020-10-21 |
| 1164021051 | Onespotmd Primary and Urgent Care Pllc | Emergency Medicine | 2017 Central Ave Ste 103, Charlotte, NC 28205-5388 | 2020-10-21 |
| 1750909032 | The Presbyterian Hospital | Emergency Medicine | 125 Queens Rd Ste 500, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1457988586 | Morgan Mazakas Penzler | Emergency Medicine | 1000 Blythe Blvd Ste 600, Charlotte, NC 28203-5812 | 2020-03-26 |
| 1770114555 | Carolina Neuropathy Centers, Pllc | Emergency Medicine | 21000 Torrence Chapel Rd Ste 101, Cornelius, NC 28031-6874 | 2020-01-30 |
| 1386291185 | Maurice Andre Paquette II | Emergency Medicine | 2301 Erwin Rd # Dumc3096, Durham, NC 27705-4699 | 2019-08-26 |
| 1205489275 | Rex Hospital Inc | Emergency Medicine | 6715 Mccrimmon Pkwy Ste 201, Cary, NC 27519-1916 | 2019-07-18 |
| 1821551920 | Rex Hospital Inc | Emergency Medicine | 1165 Us Hwy 70 W, Garner, NC 27529 | 2019-04-08 |
| 1538620737 | Andrew Yde | Emergency Medicine | Cmc/department of Emergency Medicine, 1000 Blythe Blvd., Charlotte, NC 28203-5812 | 2019-03-29 |
| Find all providers with the same taxonomy | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
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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.