TRIAD IMAGING LLC (NPI# 1790743078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790743078 |
| Entity Type | Organization |
| Organization Name | TRIAD IMAGING LLC |
| Other Organization Name | NOVANT HEALTH IMAGING TRIAD |
| Practice Address |
2705 Henry St Greensboro NC 27405-3669 |
| Mailing Address |
Po Box 603543 Charlotte NC 28260-3543 |
| Practice Telephone | 3362722162 |
| Practice Fax Number | 3362722876 |
| Mailing Telephone | 6783935600 |
| Mailing Fax Number | 7703009018 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2017-07-10 |
| Authorized Official Name | MR. DANIEL J SCHAEFER (COO) |
| Authorized Official Telephone | 7703000101 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DOL | 371938100 | 01 |
| MEDICARE RR | 470000864 | 01 | |
| NC | 890135U | 05 | |
| NC | BCBS NC | 0135U | 01 |
| Other Name | Type Code |
|---|---|
| Novant Health Imaging Triad | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124076310 | Triad Imaging LLC | Radiology | 355 S Bennett St, Southern Pines, NC 28387-5403 | 2006-05-04 |
| 1821217704 | Triad Imaging LLC | Radiology | 1124 N Church St, Ste 100 B, Greensboro, NC 27401-6106 | 2007-04-25 |
| Street Address |
2705 HENRY ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265452395 | Christopher R Payne | Radiology | 2705 Henry St, Greensboro, NC 27405-3669 | 2006-07-20 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245859453 | Triad Breast Imaging Center, LLC | Radiology | 3515 W Market St Ste 320, Greensboro, NC 27403-4438 | 2020-04-09 |
| 1073756177 | Total Radiology Solutions P A | Radiology | 5 Dovercrest Ct, Greensboro, NC 27407-8314 | 2009-04-20 |
| 1851568489 | Benjamin William Mcclintock | Radiology | 1331 N. Elm Street, Ste. 200, Greensboro, NC 27401-6304 | 2008-05-13 |
| 1336359199 | Melanie Bernadette Sanford | Radiology | 1331n Elm St 200, Greensboro, NC 27401-6304 | 2007-05-23 |
| 1992736326 | Diagnostic Radiology & Imaging, LLC | Radiology | 315 W Wendover Ave, Greensboro, NC 27408-8401 | 2006-07-05 |
| 1225077829 | Kyle D Talbot | Radiology | 1331 N. Elm St, Suite 200, Greensboro, NC 27401-6304 | 2006-06-06 |
| 1366497521 | John Arthur Strong | Radiology | 1317 N. Elm Street, Suite 1 B, Greensboro, NC 27401-1023 | 2006-05-24 |
| 1538132162 | Geoffrey T Lamke | Radiology | 14 Canvasback Pt, Greensboro, NC 27455-1327 | 2006-02-13 |
| 1679551725 | William Walter Woodruff IIi | Radiology | 1331 N. Elm St., Ste. 200, Greensboro, NC 27401-6304 | 2006-01-08 |
| 1245213412 | Rebecca Smith Kennedy | Radiology | 1331 N Elm St, Suite 200, Greensboro, NC 27401-6302 | 2005-11-22 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
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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.