| |
1107 S Main St Reidsville NC 27320-5313 | |
(336) 951-6070 | |
(336) 634-3940 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1107 S Main St, Reidsville, North Carolina |
Authorized Official Name and Position | Robert Lee Goldstein (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 3368326250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1200 N Elm St Greensboro NC 27401-1004 Ph: (336) 832-7764 | 1107 S Main St Reidsville NC 27320-5313 Ph: (336) 951-6070 |
NPI Number | 1780004556 |
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Provider Enumeration Date | 04/21/2014 |
Last Update Date | 05/09/2014 |
Medicare PECOS PAC ID | 4284782210 |
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Medicare Enrollment ID | O20140714001637 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780004556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Jason S Dew |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1073534897 PECOS PAC ID: 7012918535 Enrollment ID: I20070126000264 |
Provider Name | Sharon L Saunders |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508905480 PECOS PAC ID: 5991803421 Enrollment ID: I20070607000314 |
Provider Name | Su Wooi Teoh |
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Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1619033164 PECOS PAC ID: 4183717440 Enrollment ID: I20070904000241 |
Provider Name | Gebreselassie W Nida |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1346450657 PECOS PAC ID: 0446301766 Enrollment ID: I20090626000472 |
Provider Name | Gregory G Schnier |
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Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1740245943 PECOS PAC ID: 5496768160 Enrollment ID: I20100407000341 |
Provider Name | Brien R Pace |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548598899 PECOS PAC ID: 9739336876 Enrollment ID: I20120824000712 |
Provider Name | Michelle M Leroux Martinez |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1841716065 PECOS PAC ID: 7618231549 Enrollment ID: I20180501001674 |
Provider Name | Brittany Melinna Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871086389 PECOS PAC ID: 0446508972 Enrollment ID: I20180731002784 |
Provider Name | Fallon Eileen Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942864517 PECOS PAC ID: 0749516995 Enrollment ID: I20190725000575 |
Provider Name | Whitney J Reardon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518552090 PECOS PAC ID: 7618379843 Enrollment ID: I20210712001265 |
Provider Name | Jennifer Natashsa David |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1740571496 PECOS PAC ID: 3476796111 Enrollment ID: I20240117001627 |
Provider Name | Andres Ramgoolam |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1760481576 PECOS PAC ID: 3072505189 Enrollment ID: I20240805002695 |
Provider Name | Chloe Elisabeth Rothstein |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528781168 PECOS PAC ID: 0143768127 Enrollment ID: I20240821003748 |
Provider Name | Seth James Coynor |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1073930020 PECOS PAC ID: 3577851088 Enrollment ID: I20240920003105 |
Provider Name | Louie Anne Catahimican |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215769666 PECOS PAC ID: 4385177575 Enrollment ID: I20241025003129 |
Provider Name | Karina Maureen Paci |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1386103463 PECOS PAC ID: 3577893122 Enrollment ID: I20241029003356 |
Provider Name | Allison Ewing |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1184312183 PECOS PAC ID: 1850825662 Enrollment ID: I20241114004503 |
Provider Name | Lynn Michelle Klett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578956546 PECOS PAC ID: 9739613597 Enrollment ID: I20241115001653 |
Zack Hall, Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 217 Turner Dr Ste F, Reidsville, NC 27320 Phone: 336-342-6060 Fax: 336-342-6068 | |
Roy O Fagan Iii Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 419 W Harrison St, Reidsville, NC 27320 Phone: 336-342-4448 Fax: 336-342-4499 | |
Tesfaye D Fanta Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 W Harrison St, Reidsville, NC 27320 Phone: 336-342-9564 Fax: 336-349-9723 | |
The Mcinnis Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1123 S Main St Ste C, Reidsville, NC 27320 Phone: 336-342-4286 Fax: 866-258-0126 |