DR. ELLIOTT L SEMBLE


Address: 180 Kimel Park Dr, Winston Salem, NC 27103-6971
Phone: 3366594585

DR. ELLIOTT L SEMBLE (NPI# 1780677237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780677237
Entity Type Individual
Full Name DR. ELLIOTT L SEMBLE
Credential M.D.
Practice Address 180 Kimel Park Dr
Winston Salem
NC 27103-6971
Mailing Address 180 Kimel Park Dr
Suite 250
Winston Salem
NC 27103-6976
Practice Telephone 3366594585
Practice Fax Number 3366594548
Mailing Telephone 3366594585
Mailing Fax Number 3366594548
Enumeration Date 2005-08-30
Last Update Date 2010-01-26
NPI Deactivation Date 03/23/2006
NPI Reactivation Date 2006-03-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 24946 NC Other Service Providers

Office Location

Street Address 180 KIMEL PARK DR
City WINSTON SALEM
State NC
Zip Code 27103-6971

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851829683 Georgia Elizabeth Tanner Physician Assistant 180 Kimel Park Dr, Winston Salem, NC 27103-6976 2017-05-24
1932525243 Orthocarolina, Pa Orthopaedic Surgery 180 Kimel Park Dr, Winston Salem, NC 27103-6976 2014-03-11
1538428859 Adam Michael Wegner Orthopaedic Surgery 180 Kimel Park Dr, Winston Salem, NC 27103-6976 2012-05-07
1205135670 Peng Bai Physical Medicine & Rehabilitation 180 Kimel Park Dr, Winston Salem, NC 27103-6976 2011-03-23
1033346176 Judit Andrea Staneata Physical Medicine & Rehabilitation 180 Kimel Park Dr, Winston Salem, NC 27103-6976 2009-06-16
1952315962 Charles Patrick Richards Ophthalmology 180 Kimel Park Dr, Suite 110, Winston Salem, NC 27103-6976 2006-07-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124648126 Kelly Anne Wales Pharmacist 3917-a Westpoint Boulevard, Winston-salem, NC 27103 2020-04-20
1386281533 Elena Mcginty Nurse Practitioner 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 2019-12-06
1992359442 Madeline Pryor Pharmacist 255 Charlois Drive, Winston Salem, NC 27103 2019-08-01
1215599584 Palmetto Oxygen LLC Durable Medical Equipment & Medical Supplies 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 2019-07-07
1548734718 Trivy Johnson Specialist 1384-b Westgate Center Dr., Winston Salem, NC 27103 2019-01-21
1447745047 Novant Health Rehabilitation Hospital of Winston-salem, LLC Rehabilitation Hospital 2475 Hillcrest Center Circle, Winston Salem, NC 27103 2018-06-26
1346740206 Joseph Miller Physical Therapist 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 2018-02-17
1548779101 Kristin Blow Counselor 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 2017-09-27
1891213443 Alisha Dawn Wilson Occupational Therapy Assistant 2101 Homestead Hills Drive, Winston Salem, NC 27103 2017-09-05
1588186969 Brandy Wilson Social Worker 153 Cameron Way Circle, Winston Salem, NC 27103 2017-07-07
Find all providers in zip 27103

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306460811 Ashley Davis Specialist 765 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7100 2020-06-01
1588010045 Hmp Diagnostics, Inc. Specialist 3125 Arrowcrest Pl, Winston Salem, NC 27107-3805 2016-05-13
1013399237 Unified Women's Clinical Research Specialist 3015 Maplewood Ave Ste 203, Winston Salem, NC 27103-4075 2015-06-24
1598158289 Melissa Ferguson Giles Specialist 1409 Plaza West Dr Ste D, Winston Salem, NC 27103-1418 2015-03-05
1427305564 John Modarress Specialist 3960 White Hawk Ln, Winston Salem, NC 27106-2666 2012-08-08
1962781047 Jimmy Wayne Carpenter Specialist 4500 Indiana Ave Ste 45, Winston Salem, NC 27106-3269 2011-08-08
1598067001 Janeice Laster Specialist 6020 Meadowdale Dr, Winston Salem, NC 27105-9660 2010-12-03
1790097012 Shannon D Williams Specialist 690 Brookstown Ave, Winston Salem, NC 27101-3730 2010-07-02
1386965788 Bernadette Pardo Abadiano Specialist 223 Everidge Rd., Winston Salem, NC 27103-6307 2010-06-20
1508036740 Lisa Karen Schenk Specialist 801 Timberline Dr, Winston Salem, NC 27101-6243 2008-03-04
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27103

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Dataset Information

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.

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