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GREENSBORO MEDICAL ASSOCIATES P.A. NPI 1336102078


NPI Information

NPI: 1336102078
Provider Name: GREENSBORO MEDICAL ASSOCIATES, P.A.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1511 WESTOVER TER
SUITE 201
GREENSBORO, NC
ZIP 27408
Phone: (336) 373-0611
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GREENSBORO MEDICAL ASSOCIATES, P.A. is an internal medicine in Greensboro, NC. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GREENSBORO MEDICAL ASSOCIATES, P.A. NPI is 1336102078. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1511 WESTOVER TER
SUITE 201
GREENSBORO, NC
ZIP 27408-128
Phone: (336) 373-0611
Fax: (336) 373-1589

The provider's authorized official is Anthony Shane Anderson .
The authorized official title is M.d. and has the following contact phone number (336) 373-0611.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 3/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
3207RG0100XInternal MedicineGastroenterologyNo
4207RR0500XInternal MedicineRheumatologyNo
5207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18901670MEDICAIDNORTH CAROLINA
2230525MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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