SOUTHEASTERN OVERREAD SERVICES, PLLC (NPI# 1124060678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124060678 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN OVERREAD SERVICES, PLLC |
| Practice Address |
3723 W Market St Suite A Greensboro NC 27403-1590 |
| Mailing Address |
Po Box 16566 Chapel Hill NC 27516-6566 |
| Practice Telephone | 3368523488 |
| Practice Fax Number | 3368523442 |
| Mailing Telephone | 9199676646 |
| Mailing Fax Number | 9199676647 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DALLAS A SMITH JR. (PRESIDENT) |
| Authorized Official Telephone | 3368523488 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS/BLUE SHIELD | 013TR | 01 |
| NC | 89013TR | 05 |
| Street Address |
3723 W MARKET ST SUITE A |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962748525 | Creative Care Solutions LLC | Community/Behavioral Health | 3723 W Market St, Suite B, Greensboro, NC 27403-1590 | 2012-12-28 |
| 1548513450 | Empowering Minds, Inc. | Community/Behavioral Health | 3723 W Market St, Ste. B, Greensboro, NC 27403-1590 | 2012-10-17 |
| 1295014173 | Resourceful Solutions II | Case Management | 3723 W Market St, B, Greensboro, NC 27403-1590 | 2011-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497072813 | Michelle Collins | Radiology | 1331 N Elm St Ste 200, Greensboro, NC 27401-6304 | 2010-04-24 |
| 1942239645 | Daniel William Entrikin | Radiology | 1331 North Elm Street, Suite 200, Greensboro, NC 27401-6304 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487248 | Mission Community Anesthesiology Specialists LLC | Radiology | 534 Biltmore Ave Ste 110, Asheville, NC 28801-4607 | 2018-11-30 |
| 1780781799 | David Andrew Pacholke | Radiology | 5654 Fox Glen Trl, Lewisville, NC 27023-9636 | 2006-09-20 |
| 1023026846 | Gregory W Doyle | Radiology | 2509 Richardson Drive, Suite A, Reidsville, NC 27320 | 2006-08-04 |
| 1669420832 | Michael Sylvan Broder | Radiology | 908 Huntsford Ter, Thomasville, NC 27360-2506 | 2006-05-04 |
| 1215990171 | Eastern Radiologist, Inc | Radiology | 2101 W Arlington Blvd, Suite 210, Greenville, NC 27834-5758 | 2006-04-10 |
| 1740251586 | Wayne Brown Wooten | Radiology | 6 Pine Tree Rd, Salisbury, NC 28144-6912 | 2006-01-30 |
| 1245215011 | John Parks Booker | Radiology | 18 13th Ave Ne, Hickory, NC 28601-3748 | 2005-12-14 |
| 1194709154 | Scott T Steffen | Radiology | 3155 Maplewood Ave, Winston Salem, NC 27103-3903 | 2005-12-02 |
| 1356340541 | Lance Lee Arnder | Radiology | 2700 Medical Office Pl, Goldsboro, NC 27534-9460 | 2005-07-19 |
| 1629559000 | Janardhana Ponnatapura Satyanarayana | Radiology | Wake Forest Baptist Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on SOUTHEASTERN OVERREAD SERVICES, PLLC.
| 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.