IRMA MARIANA SANTIAGO LAGO (NPI# 1184866675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184866675 |
| Entity Type | Individual |
| Full Name | IRMA MARIANA SANTIAGO LAGO |
| Other Name | IRMA MARIANA SANTIAGO |
| Credential | MD |
| Practice Address |
102 Pomona Dr Greensboro NC 27407 |
| Mailing Address |
102 Pomona Dr Greensboro NC 27407-1616 |
| Practice Telephone | 3362990000 |
| Practice Fax Number | 3362992335 |
| Mailing Telephone | 3362990000 |
| Mailing Fax Number | 3362992335 |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2018-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2012-0350 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 85784842 | 05 | |
| MEDICARE PTAN | NMA102941 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 805 Tom Foy Blvd, Hms Bayard Community Health Center, Bayard, NM 880239767 | 5755375068 | 5755422388 |
| Street Address |
102 POMONA DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097559 | David Hershey Hopper | Family Medicine | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2005-10-17 |
| 1629627872 | Richard Morrow | Registered Nurse | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2019-09-10 |
| 1467981498 | Elizabeth Whitney Mcvey | Physician Assistant | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2017-06-04 |
| 1053789586 | Stephanie English | Physician Assistant | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2015-09-15 |
| 1235507971 | Mario Mani | Physician Assistant | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2015-09-11 |
| 1538537774 | Michael Lee Clark | Physician Assistant | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2015-09-04 |
| 1598066771 | Moses Cone Physician Services, Inc | Family Medicine | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2010-11-04 |
| 1144538083 | Ryan Michael Dunn | Physician Assistant | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2010-09-14 |
| 1780811448 | Thao Phuong Le | Family Medicine | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2009-06-19 |
| 1235173766 | Robert P Doolittle | Internal Medicine | 102 Pomona Dr, Greensboro, NC 27407-1616 | 2006-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467014233 | Shea Nicole Church | Family Medicine | 5710 W Gate City Blvd # 1, Greensboro, NC 27407-7061 | 2019-07-02 |
| 1487116968 | The Moses H. Cone Memorial Hospital Operating Corporation | Family Medicine | 3711 Elmsley St Ste 101, Greensboro, NC 27406-7039 | 2019-04-03 |
| 1104315654 | Richter Family Medicine and Wellness | Family Medicine | 5500 W Friendly Ave Ste 201, Greensboro, NC 27410-4368 | 2018-05-09 |
| 1588177315 | Medexpress Urgent Care North Carolina, P.C. | Family Medicine | 4100 Beechwood Dr, Greensboro, NC 27410-8117 | 2017-11-15 |
| 1417467275 | Moses Cone Physician Services, Inc. | Family Medicine | 2525c Phillips Ave, Greensboro, NC 27405-5357 | 2017-10-06 |
| 1528412483 | Taye Tolcha Gonfa | Family Medicine | 1125 N. Church Street, Greensboro, NC 27401 | 2016-04-18 |
| 1962889592 | Alvin Caldwell Powell Jr. | Family Medicine | 1200 N Elm St # 3509, Greensboro, NC 27401 | 2015-05-04 |
| 1518398098 | Novant Medical Group, Inc | Family Medicine | 6316 Old Oak Ridge Rd, Suite E, Greensboro, NC 27410-9940 | 2013-12-09 |
| 1184055667 | Novant Medical Group, Inc | Family Medicine | 501 Hickory Branch Road, Greensboro, NC 27409 | 2013-12-09 |
| 1861731192 | Alice Ingram | Family Medicine | 1301 W Wendover Ave Ste A, Greensboro, NC 27408-8123 | 2013-02-06 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.