GREENSBORO PLASTIC SURGICAL ASSOCIATES, P.A. (NPI# 1821306150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821306150 |
| Entity Type | Organization |
| Organization Name | GREENSBORO PLASTIC SURGICAL ASSOCIATES, P.A. |
| Practice Address |
2716 Henry St Greensboro NC 27405-3633 |
| Practice Telephone | 3369542633 |
| Practice Fax Number | 3369542931 |
| Mailing Telephone | 3369542633 |
| Mailing Fax Number | 3369542931 |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MRS. PAMELA KAYE MARTIN (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 3369542633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
26162 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8983872 | 05 |
| Street Address |
2716 HENRY ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326010042 | Gerald Truesdale | Specialist | 2716 Henry St, Greensboro, NC 27405-3633 | 2006-02-06 |
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342481 | Piedmont Asc LLC | Clinic/Center | 7819 National Service Rd Ste 404, Greensboro, NC 27409-9401 | 2020-10-02 |
| 1316951395 | The Day Surgery Center of Greensboro, LLC | Clinic/Center | 1127 N Church St, Greensboro, NC 27401-1007 | 2006-07-28 |
| 1245288257 | Surgical Center of Greensboro, LLC | Clinic/Center | 705 Green Valley Rd, Greensboro, NC 27408-7019 | 2006-05-04 |
| 1639142656 | Greensboro Ophthalmology Asc LLC | Clinic/Center | 3312 Battleground Avenue, Greensboro, NC 27410-2402 | 2006-02-09 |
| 1033660451 | Surgical Center of Greensboro LLC | Clinic/Center | 705 Green Valley Rd, Greensboro, NC 27408-7019 | 2016-10-20 |
| 1407307820 | Surgical Center of Greensboro LLC | Clinic/Center | 705 Green Valley Rd, Greensboro, NC 27408-7019 | 2016-10-20 |
| 1811057029 | Greensboro Nc Endoscopy Asc LLC | Clinic/Center | 1593 Yanceyville St, Suite 100, Greensboro, NC 27405-6948 | 2006-12-11 |
| 1396852570 | Eagle Physicians and Associates Pa | Clinic/Center | 1002 N Church St, Suite 2, Greensboro, NC 27401-1439 | 2006-08-24 |
| 1073527065 | The Day Surgery Center of Greensboro, LLC | Clinic/Center | 509 N Elam Ave, Greensboro, NC 27403-1118 | 2006-07-28 |
| 1194744532 | Moses Cone Medical Services Inc. | Clinic/Center | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2006-07-18 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on GREENSBORO PLASTIC SURGICAL ASSOCIATES, P.A..
| 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.