Olaf S Massenburg (NPI# 1013114701, PAC ID# 0042487308) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1013114701 |
| PAC ID by PECOS | 0042487308 |
| Professional Enrollment ID | I20120127000193 |
| Full Name | Olaf S Massenburg |
| Organization Legal Name | LAKE JEANETTE URGENT CARE PLLC |
| Address |
1309 Lees Chapel Rd Greensboro NC 27455-2601 |
| Phone Number | 3362865505 |
| Gender | M |
| Graduation Year | 1988 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173788825 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 | 3362865505 | LAKE JEANETTE URGENT CARE PLLC |
| Organization Legal Name | LAKE JEANETTE URGENT CARE PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly M Millsaps | Nurse Practitioner | Lake Jeanette Urgent Care Pllc | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 |
| Scott D Long | Physician Assistant | Lake Jeanette Urgent Care Pllc | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 |
| Side Mack Jr. | Physician Assistant | Lake Jeanette Urgent Care Pllc | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 |
| Street Address |
1309 LEES CHAPEL RD |
| City | GREENSBORO |
| State | NC |
| Zip | 27455-2601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly M Millsaps | Nurse Practitioner | Lake Jeanette Urgent Care Pllc | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 |
| Scott D Long | Physician Assistant | Lake Jeanette Urgent Care Pllc | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 |
| Side Mack Jr. | Physician Assistant | Lake Jeanette Urgent Care Pllc | 1309 Lees Chapel Rd, Greensboro, NC 27455-2601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tonya Maye Jones | Clinical Social Worker | 1515 W Cornwallis Dr, Suite G105, Greensboro, NC 27455 | |
| Elizabeth A Wanek | Preventative Medicine | 3817 Lawndale Dr, Suite D1, Greensboro, NC 27455-1641 | |
| Kerry B Patrone | Registered Dietitian Or Nutrition Professional | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Jessica K Bartfield | Internal Medicine | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Jeffrey Roy Medoff | Gastroenterology | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Harrill Coley | General Surgery | 3903 N Elm St, Suite 102, Greensboro, NC 27455-2594 | |
| Dana L Beall Brown | Psychologist, Clinical | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Jordan E Harrold | Clinical Social Worker | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Bobbie Leanne Harmon | Registered Dietitian Or Nutrition Professional | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Melissa J Sadler | Registered Dietitian Or Nutrition Professional | Wake Forest University Health Sciences | 3903 N Elm St, Greensboro, NC 27455-2594 |
| Find all physicians in zip 27455 | |||
| City | GREENSBORO |
| Zip Code | 27455 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GREENSBORO + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Olaf S Massenburg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.