MOSES CONE AFFILIATED PHYSICIANS, INC. (NPI# 1114228475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114228475 |
| Entity Type | Organization |
| Organization Name | MOSES CONE AFFILIATED PHYSICIANS, INC. |
| Other Organization Name | PREMIER PEDIATRICS OF EDEN |
| Practice Address |
509 S Van Buren Rd Suite B Eden NC 27288-5082 |
| Practice Telephone | 3366275437 |
| Practice Fax Number | 3366271681 |
| Mailing Telephone | 3366275437 |
| Mailing Fax Number | 3366271681 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | MR. KENNETH K BOGGS (CFO/TREASURER) |
| Authorized Official Telephone | 3368328005 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MOSES H. CONE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5916799 | 05 |
| Other Name | Type Code |
|---|---|
| Premier Pediatrics of Eden | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972949949 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1611 Flora Ave, Burlington, NC 27217-1017 | 2013-05-17 |
| 1619270360 | Moses Cone Affiliated Physicians, Inc. | Obstetrics & Gynecology | 1200 N. Elm St, Moses Cone Health System, Asb, Ste 201, Greensboro, NC 27401-1020 | 2010-12-17 |
| 1659673838 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1200 N Elm Street, Moses Cone Health System, Administrativeservices,ste201, Greensboro, NC 27401-1020 | 2010-11-22 |
| 1225338478 | Moses Cone Affiliated Physicians, Inc. | Internal Medicine | 1002 N Church St Ste 202, Greensboro, NC 27401-1448 | 2010-10-21 |
| 1710293774 | Moses Cone Affiliated Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 220 Foust St Ste B, Asheboro, NC 27203-5586 | 2010-08-27 |
| 1114233236 | Moses Cone Affiliated Physicians, Inc. | Durable Medical Equipment & Medical Supplies | 1680 Westbrook Ave, Burlington, NC 27215-9700 | 2010-08-26 |
| 1437643988 | Moses Cone Affiliated Physicians, Inc. | Family Medicine | 350 N Cox St Ste 28, Asheboro, NC 27203-5514 | 2018-06-19 |
| 1194245084 | Moses Cone Affiliated Physicians, Inc. | Advanced Practice Midwife | 1091 Kirkpatrick Rd, Burlington, NC 27215-9714 | 2017-06-22 |
| 1033526181 | Moses Cone Affiliated Physicians, Inc. | Urology | 283 White Oak St, Asheboro, NC 27203-5431 | 2014-07-21 |
| 1538593850 | Moses Cone Affiliated Physicians, Inc. | Ophthalmology | 515 Thompson St, Suite A., Eden, NC 27288-5068 | 2013-08-22 |
| Street Address |
509 S VAN BUREN RD SUITE B |
| City | EDEN |
| State | NC |
| Zip Code | 27288-5082 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083600696 | Layne's Family Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 509 S Van Buren Rd, Eden, NC 27288-5018 | 2005-09-20 |
| 1053676742 | Zainab S Qayumi | Pediatrics | 509 S Van Buren Rd, Suite B, Eden, NC 27288-5082 | 2012-07-09 |
| 1154617918 | Layne's Family Pharmacy, Inc | Pharmacy | 509 S Van Buren Rd, Eden, NC 27288-5082 | 2011-06-21 |
| 1851698385 | Layne's Family Pharmacy, Inc. | Pharmacy | 509 S Van Buren Rd, Eden, NC 27288-5082 | 2011-02-18 |
| 1124338199 | Janet G Brame | Orthotist | 509 S Van Buren Rd, Eden, NC 27288-5082 | 2010-10-08 |
| 1992992531 | Laynecare LLC | Pharmacy | 509 S Van Buren Rd, Ste A, Eden, NC 27288-5082 | 2007-09-27 |
| 1265475560 | Laynes Family Pharmacy | Durable Medical Equipment & Medical Supplies | 509 S Van Buren Rd, Eden, NC 27288-5082 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| 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 |
|---|---|---|---|---|
| 1831299817 | Shelton Phelps Dawson | Pediatrics | 705 S Van Buren Rd, Eden, NC 27288-5321 | 2006-09-22 |
| 1972535375 | Inger M. Law | Pediatrics | 520 S. Van Buren Rd., Suite-2, Eden, NC 27288-5201 | 2006-07-07 |
| 1386603710 | Chamundambika Shanmugam | Pediatrics | 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5042 | 2006-03-23 |
| 1275888000 | Morehead Memorial Hospital | Pediatrics | 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5042 | 2012-07-18 |
| 1053676742 | Zainab S Qayumi | Pediatrics | 509 S Van Buren Rd, Suite B, Eden, NC 27288-5082 | 2012-07-09 |
| 1205013331 | Rockingham Childrens Clinic | Pediatrics | 705 S Van Buren Rd, Eden, NC 27288-5321 | 2008-01-31 |
| 1134282494 | Morehead Memorial Hospital | Pediatrics | 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5019 | 2006-12-18 |
| 1932123353 | Vivian Eliza B Salvador | Pediatrics | 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5201 | 2006-07-27 |
| 1487674487 | Anne B King | Pediatrics | 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5201 | 2006-07-20 |
| 1639194723 | Mark C Bucy | Pediatrics | 520 S Van Buren Rd, Suite 2, Eden, NC 27288-5201 | 2006-07-12 |
| Find all providers in EDEN | ||||
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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.