DR. PETER ROBERT ENNEVER (NPI# 1154372738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154372738 |
| Entity Type | Individual |
| Full Name | DR. PETER ROBERT ENNEVER |
| Credential | M.D. |
| Practice Address |
501 N Elam Ave Greensboro NC 27403-1118 |
| Mailing Address |
1200 N Elm St Greensboro NC 27401-1004 |
| Practice Telephone | 3368321100 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
9500567 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8930661 | 05 | |
| NC | MEDCOST | 58409 | 01 |
| NC | PARTNERS MEDICARE | 11934 | 01 |
| NC | BCBS NC | 30661 | 01 |
| NC | AETNA | 5103108 | 01 |
| Street Address |
501 N ELAM AVE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295720696 | Bassam N. Smir | Specialist | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2005-09-13 |
| 1083240824 | Emily Catherine Stiglich | Genetic Counselor, MS | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2020-03-12 |
| 1801332119 | Karen Lynn Walker | Nurse Anesthetist, Certified Registered | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2017-01-10 |
| 1184072589 | Moses Cone Affiliated Physicians, Inc | Internal Medicine | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2016-05-26 |
| 1114327640 | Joshua Ryan Jarvela | Registered Nurse | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2014-09-03 |
| 1801295779 | Cynthia Fleetwood | Pharmacist | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2014-08-17 |
| 1598007023 | Melissa Deal Cross | Nurse Practitioner | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2013-03-22 |
| 1912284712 | Lindsey Cornetto Causey | Nurse Practitioner | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2011-11-08 |
| 1073741153 | John Russum Germeroth | Anesthesiology | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2009-06-26 |
| 1871748533 | Nancy J Adams | Genetic Counselor, MS | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2008-11-22 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730194267 | Georgia Cancer Specialists I PC | Internal Medicine | 1000 Cowles Clinc Way, Magnolia Bldg., Suite M-200, Greensboro, GA 30642-5285 | 2006-07-31 |
| 1942257506 | Firas N Shadad | Internal Medicine | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| 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.