MARYELLEN DOLAT PACE (NPI# 1134411390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134411390 |
| Entity Type | Individual |
| Full Name | MARYELLEN DOLAT PACE |
| Credential | MD |
| Practice Address |
509 N Elam Ave Fl 2 Greensboro NC 27403-1157 |
| Practice Telephone | 3362741114 |
| Practice Fax Number | 3362749638 |
| Mailing Telephone | 3362741114 |
| Mailing Fax Number | 3362749638 |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2020-07-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | VA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Surg: General - Surgery Acc, Richmond, VA 232985051 | 8048287391 | 8048280191 |
| Street Address |
509 N ELAM AVE FL 2 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467272 | Amanda Grace Dancy | Physician Assistant | 509 N Elam Ave Fl 2, Greensboro, NC 27403 | 2005-06-17 |
| 1356854657 | Bree Tharpe Fleck | Nurse Practitioner | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2017-11-08 |
| 1518411859 | Karen Lubeck Smith | Physical Therapist | 509 N Elam Ave Fl 2, Greensboro, NC 27403 | 2016-08-03 |
| 1982043824 | Christopher A Winter | Urology | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2013-06-24 |
| 1225359920 | Patrick Lee Mckenzie | Urology | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2010-06-16 |
| 1356672687 | Megan Lynn Parks | Physician Assistant | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2010-01-27 |
| 1588992168 | Eugene Demarque Bell IIi | Urology | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2009-11-19 |
| 1982930905 | Freedom Healthcare | Physical Therapist | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2009-10-27 |
| 1790912574 | Ashley Jean Fairbrother Brandon | Urology | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2009-06-18 |
| 1871736066 | Nancy J Prairie | Physical Therapist | 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 | 2009-04-17 |
| Find all providers in the same location | ||||
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255378 | Frank Patterson Fairley Jr. | Student in an Organized Health Care Education/Training Program | 3006 Lawndale Dr Apt F, Greensboro, NC 27408-3450 | 2020-11-05 |
| 1689273146 | Jennifer French | Student in an Organized Health Care Education/Training Program | 4818 Hickory Woods Dr, Greensboro, NC 27410-9161 | 2020-10-25 |
| 1043820962 | Rushdan Islam | Student in an Organized Health Care Education/Training Program | 3411 W Wendover Ave, Greensboro, NC 27407-1582 | 2020-08-05 |
| 1467062513 | Marsaedees Carter | Student in an Organized Health Care Education/Training Program | Coleman Building 1408 Walker Avenue, Greensboro, NC 27413-0001 | 2020-08-04 |
| 1679191811 | Evelyn Y Ofori | Student in an Organized Health Care Education/Training Program | 3807 Riverside Ct, Greensboro, NC 27409-9105 | 2020-07-13 |
| 1194371823 | Kayla Mcreynolds | Student in an Organized Health Care Education/Training Program | 1408 Walker Ave Ofc 237-l, Greensboro, NC 27412-5020 | 2019-08-19 |
| 1336708296 | Daniel W Aube Jr. | Student in an Organized Health Care Education/Training Program | 214 Bellemeade Street Unit 105, Greensboro, NC 27401-2740 | 2019-06-13 |
| 1871056697 | Peter J Frank | Student in an Organized Health Care Education/Training Program | Moses H Cone Memorial Hospital, 1125 N Church St., Greensboro, NC 27401-6040 | 2019-04-09 |
| 1023576881 | Camille Woods | Student in an Organized Health Care Education/Training Program | 1911 Walker Ave Apt B, Greensboro, NC 27403-1667 | 2019-03-11 |
| 1821556887 | Courtney Craft Woodall | Student in an Organized Health Care Education/Training Program | 124 E Gate City Blvd, Greensboro, NC 27406-1457 | 2019-03-08 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
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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.