MR. MAX WILMOT (NPI# 1871117135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871117135 |
| Entity Type | Individual |
| Full Name | MR. MAX WILMOT |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1046 E Wendover Ave Greensboro NC 27405-6712 |
| Mailing Address |
1801 Walker Ave Greensboro NC 27403-1751 |
| Practice Telephone | 3362721050 |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0010-10046 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
1046 E WENDOVER AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-6712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951864 | Marian Earls | Pediatrics | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2005-06-13 |
| 1194283325 | Lauren Leeanne Poleto | Registered Nurse | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2019-03-06 |
| 1881148542 | Athena Theodora Samaras | Nurse Practitioner | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2016-08-11 |
| 1548679749 | Triad Adult and Pediatric Med-gch Wendover Pharmacy | Pharmacy | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2014-08-13 |
| 1235483785 | Triad Adult and Pediatric Medicine Inc | Pharmacy | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2012-11-06 |
| 1992058531 | Sharon Elizabeth Dempsey | Social Worker | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2012-10-19 |
| 1437412863 | Channel Dion Dobson | Registered Nurse | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2012-06-20 |
| 1386921476 | Jasmine Williams | Social Worker | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2011-11-03 |
| 1538453055 | Amy Hallisey | Pharmacist | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2011-06-01 |
| 1528386166 | Laura Constance Smith | Dietitian, Registered | 1046 E Wendover Ave, Greensboro, NC 27405-6712 | 2010-05-06 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710484811 | The Moses H Cone Memorial Hospital Operating Corporation | Pediatrics | 201 S Greene St, Greensboro, NC 27401 | 2018-04-06 |
| 1063732055 | Brooktiete Asseres | Pediatrics | 4089 Battleground Ave, Greensboro, NC 27410-8410 | 2010-06-02 |
| 1134303308 | Mdfamily Medical Group | Pediatrics | 631b South Elm Street, Greensboro, NC 27406 | 2007-12-24 |
| 1528241049 | Mdfamily Medical Group | Pediatrics | 2400 Freeman Mill Rd, Greensboro, NC 27406-3912 | 2007-12-06 |
| 1780876904 | Eugene M Simpson Jr. | Pediatrics | 5322 Perrou Ct, Greensboro, NC 27410-2696 | 2007-08-12 |
| 1720296627 | Jennifer E Mccord | Pediatrics | 4 Rockport Ct, Greensboro, NC 27406-8773 | 2007-05-21 |
| 1578600227 | David J Henderson | Pediatrics | 2507 Battleground Ave, Suite B, Greensboro, NC 27408-4003 | 2007-01-31 |
| 1336296698 | Northwest Pediatrics Inc | Pediatrics | 4529 Jessup Grove Road, Greensboro, NC 27410 | 2007-01-05 |
| 1114096641 | Alan W. Cooper | Pediatrics | 2707 Henry Street, Greensboro, NC 27405-3669 | 2006-11-07 |
| 1619055548 | Aveline Quinlan | Pediatrics | 5409 W Friendly Ave, Greensboro, NC 27410-4209 | 2006-11-01 |
| 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.