JEFFREY C. CLEVENGER (NPI# 1801876909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801876909 |
| Entity Type | Individual |
| Full Name | JEFFREY C. CLEVENGER |
| Credential | MD |
| Practice Address |
306 Westwood Ave Ste 401 High Point NC 27262-4342 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3362772000 |
| Mailing Fax Number | 3362772050 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
200000752 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
200000752 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | WSCA GRP NPI # | 1285682310 | 01 |
| NC | 891266W | 05 | |
| NC | BCBS ID# | 1266W | 01 |
| NC | PARTNERS ID# | 40724 | 01 |
| VA | 1801876909 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 186 Kimel Park Dr, Winston-salem, NC 271036946 | 3362772000 | 3362772050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619341856 | Jeffrey Clevenger | Specialist/Technologist | 1801 S 18th St, Lafayette, IN 47905-2011 | 2015-11-28 |
| Street Address |
306 WESTWOOD AVE STE 401 |
| City | HIGH POINT |
| State | NC |
| Zip Code | 27262-4342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384113 | Brittany Nicole Cox | Nurse Practitioner | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2020-10-19 |
| 1801446265 | Allyson Elizabeth Blazejewski | Internal Medicine | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2019-09-18 |
| 1841849288 | Sharon Mccrary Donn | Nurse Practitioner | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2019-09-09 |
| 1518516244 | Laura Kathryn Tastad | Physician Assistant | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2019-09-05 |
| 1801020326 | Olivia Natalie Gilbert | Internal Medicine | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2009-05-12 |
| 1912987082 | Madhulika Chandra | Internal Medicine | 306 Westwood Ave Ste 401, High Point, NC 27262-4342 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821623620 | Lane and Associates Xxxviii Dds Pa | Dentist | 101 Northpoint Avenue, High Point, NC 27262 | 2020-03-12 |
| 1043869936 | Norma Mechelle Cox | Technician | 1145 Hawick Dr, High Point, NC 27262 | 2019-09-04 |
| 1417514910 | Jennifer A. Loveland Dmd II Pllc | Dentist | 1007 Phillips Avenue, Suite 103, High Point, NC 27262 | 2019-05-21 |
| 1982175196 | World Relief Corp of National Association of Evangelicals | Marriage & Family Therapist | 155 Northpoint Avenue, Suite 102, High Point, NC 27262 | 2018-12-16 |
| 1538679907 | Zackary Daniel Rogers | Physician Assistant | 1814 Westchester Dr #301, High Point, NC 27262 | 2017-10-11 |
| 1184164162 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2005 N Main St., Suite 101, High Point, NC 27262 | 2017-02-24 |
| 1225483951 | Randall Godette | Physician Assistant | 611 Lindsay Street, High Point, NC 27262 | 2016-05-02 |
| 1336537356 | Optics, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Lindsay Street, High Point, NC 27262 | 2014-12-29 |
| 1871902346 | Isha Bangura | Counselor | 910 Mill Ave., High Point, NC 27262 | 2014-08-08 |
| 1831478833 | Jenny Susan Mason | Specialist/Technologist | 922 West College Dr, High Point, NC 27262 | 2011-08-08 |
| Find all providers in zip 27262 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378855 | Champion Heart and Vascular Center, Oxford Pllc | Internal Medicine | 1614 Williamsboro Street, Oxford, NC 27565 | 2020-05-20 |
| 1508364886 | Cardiac Cin of Charlotte LLC | Internal Medicine | 15720 Brixham Hill Ave Ste 300c, Charlotte, NC 28277-4784 | 2018-01-31 |
| 1972001246 | Cardiac Cin of Raleigh LLC | Internal Medicine | 555 Fayetteville St Ste 201-279, Raleigh, NC 27601-3030 | 2018-01-31 |
| 1568973360 | Novant Medical Group Inc. | Internal Medicine | 1622 Highwoods Blvd Unit G105, Greensboro, NC 27410 | 2017-10-19 |
| 1174965826 | Valley Cardiology, Pa | Internal Medicine | 6562 Stone Mountain Farm Rd, Fayetteville, NC 28311-1183 | 2013-07-23 |
| 1477839108 | Caldwell Memorial Hospital, Inc | Internal Medicine | 401 Mulberry St Sw Ste 207, Lenoir, NC 28645-5463 | 2011-10-26 |
| 1700184108 | Richard Sean Stack | Internal Medicine | 1414 Raleigh Rd Ste 415, Chapel Hill, NC 27517-8834 | 2011-03-09 |
| 1114171634 | Novant Medical Group, Inc. | Internal Medicine | 125 Baldwin Avenue, Suite 200, Charlotte, NC 28204-3370 | 2008-11-11 |
| 1043433634 | Presbyterian Regional Healthcare Laboratory Services LLC | Internal Medicine | 1851 E 3rd St, Charlotte, NC 28204-3205 | 2007-04-11 |
| 1740395029 | Damian Brezinski | Internal Medicine | 1328 Lake Park Blvd N, Ste 103, Carolina Beach, NC 28428-3906 | 2006-08-20 |
| Find all providers with the same taxonomy | ||||
| City | HIGH POINT |
| Zip Code | 27262 |
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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.